A patient sustained a cervical spine gunshot wound resulting in immediate quadriplegia and obstruction of both vertebral arteries. After an 8-hour delay, basilar artery thrombosis occurred and resulted in locked-in syndrome. Bilateral occlusion of the vertebral arteries after penetrating cervical trauma has not been reported previously. The incidence and treatment of traumatic basilar thrombosis and locked-in syndrome is reviewed. Rapid diagnosis of ascending thrombosis and prompt treatment with hyperdynamics and anticoagulation may improve outcome.
|Original language||English (US)|
|Number of pages||3|
|Journal||Journal of Trauma - Injury, Infection and Critical Care|
|State||Published - Jan 1 1997|
- Basila thrombosis
- Vertebral artery injury
ASJC Scopus subject areas