Document Detail


A case of cerebellar infarction caused by vertebral artery injury from a stab wound to the neck.
MedLine Citation:
PMID:  17196779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vertebral artery injuries are the least common arterial injuries because of the deep location of the vessel in a bony canal. Injury of this vessel has not been associated with neurological deficits, and it is thought that many of these injuries are not recognized. The incidence of vertebral artery injury occurring after a penetration wound to the neck varies from 1.0% in gunshot wounds to 7.4% in stab wounds. However, even with vertebral artery injury in penetration wounds of the neck the association with cerebellar infarction is a rare occurrence. We describe a case of cerebellar infarction caused by vertebral artery injury from a stab wound that severed the vessel between the transverse processes of C3 and C4 with a hypoplastic contralateral vertebral artery. The patient ultimately suffered infarction of the cerebellum due to the lack of preservation of the posterior inferior cerebellar artery blood flow. Management is discussed and the medical literature is reviewed.
Authors:
Jung Je Park; Hyun Seok Shim; Jae Ho Jeong; Soo Hyun Whang; Jin Pyeong Kim; Sea Young Jeon; Oh Jin Kwon
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-12-29
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  34     ISSN:  0385-8146     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-06-04     Completed Date:  2007-09-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  431-4     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, College of Medicine Gyeongsang National University, Jinju 660-702, South Korea. capetown@hanmail.net
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MeSH Terms
Descriptor/Qualifier:
Cerebellar Diseases / etiology*,  radiography,  surgery
Cerebral Angiography
Cerebral Infarction / etiology*,  radiography,  surgery
Dominance, Cerebral / physiology
Female
Follow-Up Studies
Humans
Jugular Veins / injuries,  surgery
Microsurgery
Middle Aged
Neck Injuries / complications*,  radiography,  surgery
Tomography, X-Ray Computed
Vertebral Artery / abnormalities,  injuries*,  radiography,  surgery
Wounds, Stab / complications*,  radiography,  surgery

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


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