STROKE ASSOCIATED WITH TRAUMATIC VERTEBRAL ARTERY INJURY AFTER REDUCTION OF CERVICAL SPINE FRACTURE DISLOCATION : A CASE REPORT

Abstract

　　Vertebral artery injury (VAI) is rare. However, the neurological prognosis is serious in patients that develop stroke. The stroke incidence and mortality rate are high, especially for Denver scale Grade IV (occlusion). The efficacy of anticoagulant therapies and interventional radiology (IVR) has been reported, but treatment methods remain controversial.

　　We diagnosed a patient with VAI (Grade IV) associated with cervical spine trauma. He developed vertebrobasilar infarction after surgery for cervical spine injury.

　　As cervical spine trauma is frequently associated with VAI, we should detect VAI on computed tomography angiography. In addition, multidiscipline cooperation is important to consider treatments such as IVR.