Document Detail

A lateral mass fracture of C1 associated with left vertebral artery and mid-basilar artery occlusion.
MedLine Citation:
PMID:  11497099     Owner:  NLM     Status:  MEDLINE    
Extreme acceleration and deceleration forces as well as axial loading are exerted at the occipito-cervical junction of drivers involved in high-velocity motor vehicle accidents, especially with fastened seatbelts. Injury at this level, usually lethal, can go unrecognized despite modern emergency management of the unconscious patient. A precise neurologic and radiographic workup of damage to this area is often not possible or overlooked in the initial phase of such severe trauma. We describe a patient with multiple injuries who sustained a left vertebral artery occlusion associated with a left-sided lateral mass fracture of C1 and a basilar artery occlusion resulting in a locked-in syndrome after an automobile accident.
A Schoeggl; M Reddy; G Bavinzski
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurotrauma     Volume:  18     ISSN:  0897-7151     ISO Abbreviation:  J. Neurotrauma     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-10     Completed Date:  2001-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8811626     Medline TA:  J Neurotrauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  737-41     Citation Subset:  IM    
Department of Neurosurgery, University of Vienna, Austria.
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MeSH Terms
Arterial Occlusive Diseases / etiology*,  pathology,  radiography
Basilar Artery / injuries*,  pathology,  radiography
Cervical Vertebrae / injuries*,  pathology,  radiography
Middle Aged
Spinal Fractures / complications*,  pathology,  radiography
Vertebral Artery / injuries*,  pathology,  radiography

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