Traumatic cervical vertebral artery transection associated with a dural tear leading to subarachnoid extravasation

Mark O. Baerlocher, Tanya Zakrison, Homer Tien, Richard I. Aviv, Sean P. Symons

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Vertebral artery injuries can be seen following trauma. Most traumatic vertebral artery injuries are limited to an intimal dissection. Rarely, transection of the vertebral artery can be seen with extravasation of hemorrhage into the surrounding soft tissues of the neck. Dural tears are rare in the setting of trauma. They are usually the result of penetrating trauma or severe blunt trauma. We present a case with both a vertebral artery transection and a dural tear. The combination of these lethal injuries resulted in extravasation of hemorrhage into the soft tissues of the neck, through the dural tear, and into the subarachnoid space of the cervical spine. The subarachnoid hemorrhage extended superiorly into the brain. The diagnosis was made by computed tomography (CT) and computed tomography angiography (CTA). The treatment of traumatic vertebral artery transections and dural tears are discussed.

Original languageEnglish
Pages (from-to)67-70
Number of pages4
JournalEuropean Journal of Trauma and Emergency Surgery
Volume35
Issue number1
DOIs
StatePublished - Feb 1 2009
Externally publishedYes

Fingerprint

Vertebral Artery
Tears
Wounds and Injuries
Neck
Tunica Intima
Hemorrhage
Subarachnoid Space
Subarachnoid Hemorrhage
Dissection
Spine
Tomography
Brain

Keywords

  • Dural tear
  • Extravasation
  • Spinal fracture
  • Subarachnoid hemorrhage
  • Vascular injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

Cite this

Traumatic cervical vertebral artery transection associated with a dural tear leading to subarachnoid extravasation. / Baerlocher, Mark O.; Zakrison, Tanya; Tien, Homer; Aviv, Richard I.; Symons, Sean P.

In: European Journal of Trauma and Emergency Surgery, Vol. 35, No. 1, 01.02.2009, p. 67-70.

Research output: Contribution to journalArticle

@article{ab0443d486204012a8e1af89e6ead3a9,
title = "Traumatic cervical vertebral artery transection associated with a dural tear leading to subarachnoid extravasation",
abstract = "Vertebral artery injuries can be seen following trauma. Most traumatic vertebral artery injuries are limited to an intimal dissection. Rarely, transection of the vertebral artery can be seen with extravasation of hemorrhage into the surrounding soft tissues of the neck. Dural tears are rare in the setting of trauma. They are usually the result of penetrating trauma or severe blunt trauma. We present a case with both a vertebral artery transection and a dural tear. The combination of these lethal injuries resulted in extravasation of hemorrhage into the soft tissues of the neck, through the dural tear, and into the subarachnoid space of the cervical spine. The subarachnoid hemorrhage extended superiorly into the brain. The diagnosis was made by computed tomography (CT) and computed tomography angiography (CTA). The treatment of traumatic vertebral artery transections and dural tears are discussed.",
keywords = "Dural tear, Extravasation, Spinal fracture, Subarachnoid hemorrhage, Vascular injury",
author = "Baerlocher, {Mark O.} and Tanya Zakrison and Homer Tien and Aviv, {Richard I.} and Symons, {Sean P.}",
year = "2009",
month = "2",
day = "1",
doi = "10.1007/s00068-008-7184-z",
language = "English",
volume = "35",
pages = "67--70",
journal = "Unfallchirurgie",
issn = "0340-2649",
publisher = "Urban und Vogel",
number = "1",

}

TY - JOUR

T1 - Traumatic cervical vertebral artery transection associated with a dural tear leading to subarachnoid extravasation

AU - Baerlocher, Mark O.

AU - Zakrison, Tanya

AU - Tien, Homer

AU - Aviv, Richard I.

AU - Symons, Sean P.

PY - 2009/2/1

Y1 - 2009/2/1

N2 - Vertebral artery injuries can be seen following trauma. Most traumatic vertebral artery injuries are limited to an intimal dissection. Rarely, transection of the vertebral artery can be seen with extravasation of hemorrhage into the surrounding soft tissues of the neck. Dural tears are rare in the setting of trauma. They are usually the result of penetrating trauma or severe blunt trauma. We present a case with both a vertebral artery transection and a dural tear. The combination of these lethal injuries resulted in extravasation of hemorrhage into the soft tissues of the neck, through the dural tear, and into the subarachnoid space of the cervical spine. The subarachnoid hemorrhage extended superiorly into the brain. The diagnosis was made by computed tomography (CT) and computed tomography angiography (CTA). The treatment of traumatic vertebral artery transections and dural tears are discussed.

AB - Vertebral artery injuries can be seen following trauma. Most traumatic vertebral artery injuries are limited to an intimal dissection. Rarely, transection of the vertebral artery can be seen with extravasation of hemorrhage into the surrounding soft tissues of the neck. Dural tears are rare in the setting of trauma. They are usually the result of penetrating trauma or severe blunt trauma. We present a case with both a vertebral artery transection and a dural tear. The combination of these lethal injuries resulted in extravasation of hemorrhage into the soft tissues of the neck, through the dural tear, and into the subarachnoid space of the cervical spine. The subarachnoid hemorrhage extended superiorly into the brain. The diagnosis was made by computed tomography (CT) and computed tomography angiography (CTA). The treatment of traumatic vertebral artery transections and dural tears are discussed.

KW - Dural tear

KW - Extravasation

KW - Spinal fracture

KW - Subarachnoid hemorrhage

KW - Vascular injury

UR - http://www.scopus.com/inward/record.url?scp=60349125728&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=60349125728&partnerID=8YFLogxK

U2 - 10.1007/s00068-008-7184-z

DO - 10.1007/s00068-008-7184-z

M3 - Article

AN - SCOPUS:60349125728

VL - 35

SP - 67

EP - 70

JO - Unfallchirurgie

JF - Unfallchirurgie

SN - 0340-2649

IS - 1

ER -