+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Detection of vertebral artery injury after cervical spine trauma using magnetic resonance angiography



Detection of vertebral artery injury after cervical spine trauma using magnetic resonance angiography



Journal of Trauma 46(4): 660-666



Background: We prospectively describe the incidence, magnetic resonance-based diagnosis, and treatment of vertebral artery (VA) injury resulting from closed cervical spine trauma. Methods: Patients with fracture or dislocation on plain radiographic studies underwent computed tomography. Among these patients, the subset with computed tomographic evidence of foramen transversarium (FT) fracture underwent magnetic resonance angiography as early as possible. Results: During a 16-month period, 38 patients with closed cervical trauma were treated. Twelve patients demonstrated fracture extension through at least one FT by computed tomography. Among these patients, four showed unilateral VA injury by magnetic resonance angiography, all ipsilateral to the fractured FT. Three cases of VA occlusion and one of focal narrowing were demonstrated. All four patients were initially treated with aspirin, and two were systemically anticoagulated. None developed irreversible neurologic deficits from the VA compromise. Conclusion: Our data suggest that the incidence of VA injury in closed cervical spine trauma is significant and that FT fractures warrant flow-sensitive magnetic resonance imaging.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 010438018

Download citation: RISBibTeXText

PMID: 10217231


Related references

Long-term evaluation of vein bypass grafts: lessons to be learned. Catheterization and Cardiovascular Diagnosis 41(2): 151, 1997

Significance of lysozyme and hemocytic reaction in the pathogenesis of bacterial infections of insects Biological control of crop pests.1. Trudy Vsesoiuznogo nauchno issledovatel'skogo instituta zashchity rastenii: ) 33-44, 1980

The diagnostic accuracy of lymphography in Hodgkin's disease. Rofo 126(1): 1-5, 1977

Vertebral artery injury after blunt trauma without concomitant cervical or neurologic injuries: a screening conundrum. American Surgeon 77(4): E72-E73, 2011

Traumatic wound dehiscence 14 years following penetrating keratoplasty. Indian Journal of Ophthalmology 51(3): 259-260, 2003

Vertebral artery dissection. Case report. Journal of Cardiovascular Surgery 36(3): 247-249, 1995

Vertebral artery injury in C1-2 transarticular screw fixation: results of a survey of the AANS/CNS section on disorders of the spine and peripheral nerves. American Association of Neurological Surgeons/Congress of Neurological Surgeons. Journal of Neurosurgery 88(4): 634-640, 1998

Cervical spine trauma in a pregnant patient. Journal of Emergency Medicine 1(3): 275-282, 1984

Clinical study and comparison of magnetic resonance angiography (MRA). 2007

Fatal Varicella Myocarditis in a Child with Down Syndrome-A Case Report. Journal of Tropical Pediatrics 62(3): 250-254, 2016

Asymptomatic versus symptomatic persistent atrial fibrillation: Clinical and noninvasive characteristics. Journal of Internal Medicine 250(5): 390-397, 2001

Vertebral artery injuries. Surgical Clinics of North America 81(6): 1345-56 Xiii, 2001

Asymptomatic bladder rupture in a primigravida: late manifestation and delayed diagnosis. Australian and New Zealand Journal of Obstetrics and Gynaecology 45(6): 535-536, 2005

Trans-striatocapsular contralateral interhemispheric resection of anterior inferior basal ganglia cavernous malformation. World Neurosurgery 80(6): E397-E399, 2013

Mapping the Ischaemic Penumbra with Pet: Implications for Acute Stroke Treatment. Cerebrovascular Diseases 9(4): 193-201, 1999