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