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Perforating injury of the neck and vertebral artery trauma

Published online by Cambridge University Press:  29 June 2007

M. L. Farrell  and
R. F. Gray
M. L. Farrell*
Affiliation:
Cambridge
R. F. Gray
Affiliation:
Cambridge
*
Dr M. L. Farrell, ENT Registrar, Royal North Shore Hospital, St Leonards, NSW 2065, Australia
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Abstract

A 10-year-old schoolboy presented with a penetrating wound to the neck after a children's slide accident. A CT scan and endoscopy showed a traumatic oesophageal-cutaneous fistula. Neurologically the child deteriorated over a period of 34 hours and finally succumbed to a respiratory arrest.

Post-mortem findings showed a hypoplastic right vertebral artery. In the left suboccipital triangle a venous clot had blocked the dominant artery thus leading to cerebellar and brainstem infarction.

This extraluminal compression leading to obstruction of an otherwise non traumatized vertebral artery is unique in the literature.

Keywords

NeckWounds, penetratingVertebral artery

Information

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 10 , October 1992 , pp. 925 - 928
Copyright
Copyright © JLO (1984) Limited 1992

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References

Bendick, P. J. (1990) Haemodynamic evaluation of vertebral arteries by duplex ultrasound. Surgical Clinics of North America, 70, 234–244.CrossRefGoogle ScholarPubMed
Bradac, G. B., Kaernback, A., Bolk-Weischedel, D. (1981) Spontaneous dissecting aneurysm of the cervical vertebral arteries. Report of six cases and review of the literature. Neuroradiology, 21, 149–159.CrossRefGoogle ScholarPubMed
Chedid, M. K., Deeb, Z. L., Rothfus, W. E., Abla, A. A., Sherman, R. L., Maroon, J. C. (1989) Major cerebral vessels injury caused by a seat belt injury; case report. Journal of Trauma, 29, 1601–1603.CrossRefGoogle Scholar
Goldstein, S. J. (1982) Dissecting haematoma of the cervical vertebralartery. Journal of Neurosurgery, 56, 451–454.CrossRefGoogle Scholar
Golueke, P., Sclafani, S. (1987) Vertebral artery injury—diagnosis and management. Journal of Trauma, 27, 856–865.CrossRefGoogle ScholarPubMed
Hart, R. J., Easton, D. J. (1982) Dissection of cervical and cerebral arteries. Neurological Clinics, 1, 451–454.Google Scholar
Hope, E. E., Bodensteimer, J. B., Barnes, P. (1983) Cerebral infarction related to neck position in an adolescent. Paediatrics, 72, 335–337.CrossRefGoogle Scholar
Katirji, M. B., Reinmuth, D. M., Latchaw, R. E. (1985) Stroke due to vertebral artery injury. Archives of Neurology, 42: 242–248.CrossRefGoogle ScholarPubMed
Levy, R. L., Dugan, T. M., Bernat, J. L., Keating, J. (1980) Lateral medullary syndrome after neck injury. Neurology, 30, 788–790.CrossRefGoogle ScholarPubMed
Okasawa, S., Nibblelink, D. (1974) Vertebral artery occlusion following hyperextension and rotation of the head. Stroke, 5, 640–642.CrossRefGoogle Scholar
Quint, D. J., Spickler, E. M. (1990) Magnetic resonance demonstration of vertebral artery dissection. Report of two cases. Journal of Neurosurgery, 72, 964–967.CrossRefGoogle ScholarPubMed
Six, E. G., Stringer, W. L., Cowley, A. R., Davis, C. H. (1981) Posttraumatic bilateral vertebral artery occlusion: a case report. Journal of Neurosurgery, 54, 814–817.CrossRefGoogle Scholar
Sherman, D., Hart, R., Easton, J. (1981) Abrupt changes in head position and cerebral infarction. Stroke, 12, 2–6.CrossRefGoogle ScholarPubMed
Thomas, G. I., Anderson, K. N., Hain, R. F. (1956) The significance of anomalous vertebral basilar artery communications in operations on the heart and great vessels. Surgery, 46, 747–757.Google Scholar
Tramo, M. J., Hainline, B., Petito, F.Lee, B., Caronna, J. (1985) Vertebral artery injury and cerebellar stroke while swimming. Case report. Stroke, 16, 1039–1042.CrossRefGoogle ScholarPubMed