Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis.
Publication
, Journal Article
Hauck, EF; Natarajan, SK; Horvathy, DB; Hopkins, LN; Siddiqui, AH; Levy, EI
Published in: J Neurointerv Surg
March 2011
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.
Duke Scholars
Published In
J Neurointerv Surg
DOI
EISSN
1759-8486
Publication Date
March 2011
Volume
3
Issue
1
Start / End Page
47 / 49
Location
England
Related Subject Headings
- Vertebral Artery Dissection
- Thrombolytic Therapy
- Stents
- Radiography
- Intracranial Thrombosis
- Humans
- Fibrinolytic Agents
- Diffusion Tensor Imaging
- Basilar Artery
- Athletic Injuries
Citation
APA
Chicago
ICMJE
MLA
NLM
Hauck, E. F., Natarajan, S. K., Horvathy, D. B., Hopkins, L. N., Siddiqui, A. H., & Levy, E. I. (2011). Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis. J Neurointerv Surg, 3(1), 47–49. https://doi.org/10.1136/jnis.2010.002410
Hauck, Erik F., Sabareesh K. Natarajan, Dennis B. Horvathy, L Nelson Hopkins, Adnan H. Siddiqui, and Elad I. Levy. “Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis.” J Neurointerv Surg 3, no. 1 (March 2011): 47–49. https://doi.org/10.1136/jnis.2010.002410.
Hauck EF, Natarajan SK, Horvathy DB, Hopkins LN, Siddiqui AH, Levy EI. Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis. J Neurointerv Surg. 2011 Mar;3(1):47–9.
Hauck, Erik F., et al. “Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis.” J Neurointerv Surg, vol. 3, no. 1, Mar. 2011, pp. 47–49. Pubmed, doi:10.1136/jnis.2010.002410.
Hauck EF, Natarajan SK, Horvathy DB, Hopkins LN, Siddiqui AH, Levy EI. Stent-assisted basilar reconstruction for a traumatic vertebral dissection with a large basilar artery thrombosis. J Neurointerv Surg. 2011 Mar;3(1):47–49.
Published In
J Neurointerv Surg
DOI
EISSN
1759-8486
Publication Date
March 2011
Volume
3
Issue
1
Start / End Page
47 / 49
Location
England
Related Subject Headings
- Vertebral Artery Dissection
- Thrombolytic Therapy
- Stents
- Radiography
- Intracranial Thrombosis
- Humans
- Fibrinolytic Agents
- Diffusion Tensor Imaging
- Basilar Artery
- Athletic Injuries