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Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report
Background. Basilar thrombosis is a potentially fatal event, whose traumatic etiology has been repeatedly stated. Methods. We performed the autopsy and the microscopic examination of the brain stem structures from an individual, whose sudden death raised logical suspicions regarding the causative fa...
Autores principales: | , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935134/ https://www.ncbi.nlm.nih.gov/pubmed/20827380 http://dx.doi.org/10.1155/2010/401978 |
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author | Shaqiri, Elmaz Vyshka, Gentian Sinamati, Admir Ymaj, Besim Ismaili, Zija |
author_facet | Shaqiri, Elmaz Vyshka, Gentian Sinamati, Admir Ymaj, Besim Ismaili, Zija |
author_sort | Shaqiri, Elmaz |
collection | PubMed |
description | Background. Basilar thrombosis is a potentially fatal event, whose traumatic etiology has been repeatedly stated. Methods. We performed the autopsy and the microscopic examination of the brain stem structures from an individual, whose sudden death raised logical suspicions regarding the causative factor. Results. The brain was swollen and clearly hyperemic; a massive basilar thrombus with complete occlusion of the median segment of the basilar artery was macroscopically seen. The brainstem showed an infarcted zone in the pons, with secondary hemorrhagic changes, mainly in the form of multiple petechial hemorrhages. Pontine arteries showed extensive alterations, mainly in the form of severed endothelium, which suggested a thrombotic-traumatic mechanism as the main etiological factor. Conclusions. Minor injuries, such as slight whiplashes, abrupt neck movements, neck trauma related to the slowing down of the vehicles, and critical neck positioning, can all of them explain a thrombotic event in the basilar artery, leading to a fatal occurrence. Other risk factors may obviously concur, but their importance seems unclear. |
format | Text |
id | pubmed-2935134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-29351342010-09-08 Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report Shaqiri, Elmaz Vyshka, Gentian Sinamati, Admir Ymaj, Besim Ismaili, Zija Case Rep Med Case Report Background. Basilar thrombosis is a potentially fatal event, whose traumatic etiology has been repeatedly stated. Methods. We performed the autopsy and the microscopic examination of the brain stem structures from an individual, whose sudden death raised logical suspicions regarding the causative factor. Results. The brain was swollen and clearly hyperemic; a massive basilar thrombus with complete occlusion of the median segment of the basilar artery was macroscopically seen. The brainstem showed an infarcted zone in the pons, with secondary hemorrhagic changes, mainly in the form of multiple petechial hemorrhages. Pontine arteries showed extensive alterations, mainly in the form of severed endothelium, which suggested a thrombotic-traumatic mechanism as the main etiological factor. Conclusions. Minor injuries, such as slight whiplashes, abrupt neck movements, neck trauma related to the slowing down of the vehicles, and critical neck positioning, can all of them explain a thrombotic event in the basilar artery, leading to a fatal occurrence. Other risk factors may obviously concur, but their importance seems unclear. Hindawi Publishing Corporation 2010 2010-08-08 /pmc/articles/PMC2935134/ /pubmed/20827380 http://dx.doi.org/10.1155/2010/401978 Text en Copyright © 2010 Elmaz Shaqiri et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Shaqiri, Elmaz Vyshka, Gentian Sinamati, Admir Ymaj, Besim Ismaili, Zija Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title | Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title_full | Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title_fullStr | Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title_full_unstemmed | Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title_short | Fatal Basilar Thrombosis Possibly Related to Minor Cervical Trauma: A Case Report |
title_sort | fatal basilar thrombosis possibly related to minor cervical trauma: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935134/ https://www.ncbi.nlm.nih.gov/pubmed/20827380 http://dx.doi.org/10.1155/2010/401978 |
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