Entrapment of the basilar artery within a clivus fracture: Case report and literature review.
Neurochirurgie
; 65(4): 191-194, 2019 Aug.
Article
in En
| MEDLINE
| ID: mdl-31095942
ABSTRACT
A review of the literature revealed that basilar artery (BA) entrapment is a very rare (17 cases published) and severe pathological condition, which often leads to death. We report the case of a 72-year-old man who presented with a longitudinal clivus fracture associated with a basilar artery entrapment. This entrapment was responsible for a basilar artery dissection, which led to an ischemic stroke in the pons. The patient was managed with medical treatment, mainly to avoid a progression towards an ischemic stroke. It consisted of heparin therapy followed by antiplatelet therapy, which finally resulted in a successful outcome. In BA entrapment most of the patients who had a favorable outcome received antithrombotic therapy. This suggests that antithrombotic therapy might be useful in the first line treatment of post-traumatic BA entrapment.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Vertebrobasilar Insufficiency
/
Neurosurgical Procedures
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Cranial Fossa, Posterior
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Skull Fracture, Basilar
Type of study:
Etiology_studies
Limits:
Aged
/
Humans
/
Male
Language:
En
Journal:
Neurochirurgie
Year:
2019
Document type:
Article