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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...

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Autores principales: Shaqiri, Elmaz, Vyshka, Gentian, Sinamati, Admir, Ymaj, Besim, Ismaili, Zija
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
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.
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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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