Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis.
Journal Article (Journal Article)
An individual in their 30s presented with quadriplegia and coma 7 h after a 30-foot free-fall. Angiography confirmed left vertebral artery dissection causing vertebral artery occlusion (thrombolysis in myocardial infarction (TIMI) 0) and basilar artery thrombosis. Deployment of six self-expanding intracranial stents (right P1 to left V3) resulted in recanalization (TIMI 3). Postoperative MRI demonstrated a large brainstem infarction; the patient was 'locked-in'. In the following 6 months, the patient recovered to ambulation and independence. Aggressive recanalization for symptomatic vertebrobasilar dissection/occlusion may be considered. Despite major diffusion-weighted imaging brainstem lesions, recovery is possible.
Full Text
Duke Authors
Cited Authors
- Hauck, EF; Natarajan, SK; Horvathy, DB; Hopkins, LN; Siddiqui, AH; Levy, EI
Published Date
- March 2011
Published In
Volume / Issue
- 3 / 1
Start / End Page
- 47 - 49
PubMed ID
- 21990788
Electronic International Standard Serial Number (EISSN)
- 1759-8486
Digital Object Identifier (DOI)
- 10.1136/jnis.2010.002410
Language
- eng
Conference Location
- England