神経外傷
Online ISSN : 2434-3900
症例報告
頸椎骨折を伴う椎骨動脈解離による脳梗塞に対し血栓回収療法を行った1例
田中 達也緒方 敦之岩下 英紀劉 軒正島 弘隆桃崎 宣明本田 英一郎阿部 竜也
著者情報
ジャーナル フリー

2020 年 43 巻 1 号 p. 28-32

詳細
抄録

The case was a 65–year–old male. The patient fell from a stepladder and was injured. Computed tomo­graphy revealed a fracture extending to the left lateral foramen in the 6th cervical spine, and 3DCTA re­vealed occlusion of the left cervical ver­tebral artery, basilar artery, and posterior cerebral artery. Revascularization therapy was performed with a diagnosis of cerebral infarction due to cerebral main artery occlusion of unknown onset time. A 6Fr guiding catheter was placed in the left vertebral artery, and thrombus crushing and throm­bus collection were performed using a stent–type thrombectomy device. After the operation, the dis­turbance of consciousness improved.

The vertebral artery dissection associated with trauma often accompanies cerebral infarction, and a lucid interval of several hours to several weeks is observed before the onset of symptoms. Neck pain after trauma requires careful observation considering the possibility of vascular dissection. When neurological symptoms appear, vascular assessment should be performed promptly, and revascularization therapy should be considered if indicated.

著者関連情報
© 2020 日本脳神経外傷学会
前の記事 次の記事
feedback
Top