Document Detail


Pediatric blunt vertebral artery injury: case report and treatment plan.
MedLine Citation:
PMID:  19302845     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aggressive screening for blunt cerebrovascular injuries in patients with trauma has led to the identification and successful treatment of these injuries. We report the case of an 8-year-old boy who sustained a vertebral artery injury after a motor vehicle collision. Computed tomography angiogram showed an 8-mm thrombosed segment of the vertebral artery. The patient was initially anticoagulated with a heparin drip and transitioned over to treatment with enoxaparin sodium (Lovenox). With few reports in the literature of blunt cerebrovascular injuries in the pediatric population, a review of the appropriate screening parameters, treatment plans, and follow-up is helpful for the practicing physician.
Authors:
Louis Seitz Brunworth; C Clay Cothren; G Edward Kimm; Walter L Biffl; Ernest E Moore
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  44     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e5-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Denver Health Medical Center and the University of Colorado Denver School of Medicine, Denver, CO, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic
Algorithms
Anticoagulants / therapeutic use
Child
Enoxaparin / therapeutic use
Humans
Male
Risk Factors
Spinal Fractures / radiography,  therapy
Tomography, X-Ray Computed
Vertebral Artery / injuries*
Wounds, Nonpenetrating / epidemiology,  therapy*
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Enoxaparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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