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Postoperative bilateral vertebral artery dissection: a case report.
MedLine Citation:
PMID:  15275026     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
With the improvement of medical imaging and surgical techniques, surgery on cervical vertebral is more frequent. Some cases of complications of this type of surgery have been described. We report a case of postoperative bilateral vertebral artery dissection. It concerns a 58 year-old woman who suffered from a left cervico-brachial C6 neuralgia with paresthesiae of the thumb. She underwent discectomy at C5-C6 and C6-C7 followed by setting up intersomatic cages. In subsequent days, an irreversible coma developed. Supra-aortic echographic study revealed bilateral vertebral artery thrombosis. CT scan revealed ischemic lesions of the brain stem and cerebellum. Cerebral death was declared five days after the operation. Autopsy was performed to determine whether death was the consequence of the intervention. The cause of death was determined to be ischemic brain injury of the brain stem and cerebellum resulting from bilateral traumatic occlusion of the vertebral arteries caused by the surgery.
Authors:
C Manaouil; M Graser; J Delcour; D Le Gars; M F Gontier; J Loriau; O Jardé
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical forensic medicine     Volume:  10     ISSN:  1353-1131     ISO Abbreviation:  J Clin Forensic Med     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2004-07-27     Completed Date:  2005-02-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9434927     Medline TA:  J Clin Forensic Med     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  81-4     Citation Subset:  -    
Affiliation:
Department of Forensic Medicine, CHU Amiens, France.
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