C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report

A 27-year-old female involved a motor vehicle collision as the restrained driver presented to the ER with agonal breathing and a Glasgow Coma Scale (GCS) of 3. Radiographic imaging demonstrated C2-3 craniocaudal dislocation, bilateral C2 comminuted pedicle fractures extending through the transverse...

Descripción completa

Detalles Bibliográficos
Autores principales: Kiessling, John W, Whitney, Eric, Fiani, Brian, Khan, Yasir R, Mahato, Deependra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Trauma
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819066/
https://www.ncbi.nlm.nih.gov/pubmed/31687311
http://dx.doi.org/10.7759/cureus.5538
_version_ 1783463672345001984
author Kiessling, John W
Whitney, Eric
Fiani, Brian
Khan, Yasir R
Mahato, Deependra
author_facet Kiessling, John W
Whitney, Eric
Fiani, Brian
Khan, Yasir R
Mahato, Deependra
author_sort Kiessling, John W
collection PubMed
description A 27-year-old female involved a motor vehicle collision as the restrained driver presented to the ER with agonal breathing and a Glasgow Coma Scale (GCS) of 3. Radiographic imaging demonstrated C2-3 craniocaudal dislocation, bilateral C2 comminuted pedicle fractures extending through the transverse foramina, complete bilateral vertebral artery occlusion, and negative signs of stroke with MRI. After halo immobilization, surgical stabilization, and medical treatment the patient was discharged and at her six-month follow up she was without neurological deficit.
format Online
Article
Text
id pubmed-6819066
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-68190662019-11-04 C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report Kiessling, John W Whitney, Eric Fiani, Brian Khan, Yasir R Mahato, Deependra Cureus Trauma A 27-year-old female involved a motor vehicle collision as the restrained driver presented to the ER with agonal breathing and a Glasgow Coma Scale (GCS) of 3. Radiographic imaging demonstrated C2-3 craniocaudal dislocation, bilateral C2 comminuted pedicle fractures extending through the transverse foramina, complete bilateral vertebral artery occlusion, and negative signs of stroke with MRI. After halo immobilization, surgical stabilization, and medical treatment the patient was discharged and at her six-month follow up she was without neurological deficit. Cureus 2019-08-30 /pmc/articles/PMC6819066/ /pubmed/31687311 http://dx.doi.org/10.7759/cureus.5538 Text en Copyright © 2019, Kiessling et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Trauma
Kiessling, John W
Whitney, Eric
Fiani, Brian
Khan, Yasir R
Mahato, Deependra
C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title_full C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title_fullStr C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title_full_unstemmed C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title_short C2-3 Fracture Dislocation and Bilateral Vertebral Artery Occlusion Without Neurological Injury: A Case Report
title_sort c2-3 fracture dislocation and bilateral vertebral artery occlusion without neurological injury: a case report
topic Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819066/
https://www.ncbi.nlm.nih.gov/pubmed/31687311
http://dx.doi.org/10.7759/cureus.5538
work_keys_str_mv AT kiesslingjohnw c23fracturedislocationandbilateralvertebralarteryocclusionwithoutneurologicalinjuryacasereport
AT whitneyeric c23fracturedislocationandbilateralvertebralarteryocclusionwithoutneurologicalinjuryacasereport
AT fianibrian c23fracturedislocationandbilateralvertebralarteryocclusionwithoutneurologicalinjuryacasereport
AT khanyasirr c23fracturedislocationandbilateralvertebralarteryocclusionwithoutneurologicalinjuryacasereport
AT mahatodeependra c23fracturedislocationandbilateralvertebralarteryocclusionwithoutneurologicalinjuryacasereport

Ejemplares similares