Traumatic cervical distraction complicated by delayed reduction due to traumatic vertebral artery pseudo-aneurysm
Authors: Dill-Macky, Marcus J1; Khangure, Mark2; Song, Swithin2
Source: Australasian Radiology, Volume 43, Number 3, August 1999 , pp. 372-377(6)
Publisher: Blackwell Publishing
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Abstract:
A 23-year-old male involved in a high-speed collision acquired, among other injuries, a wide fracture distraction at C2/C3. Reduction was delayed by an enlarging vertebral artery pseudo-aneurysm at the site of injury which was successfully treated by proximal endovascular occlusion with a detachable polymer-filled balloon. A traumatic arachnoid cyst or pseudomeningocele was also demonstrated at the injury site but intervention was not required. The treatment and outcome of these three uncommon injuries in the literature is reviewed and discussed. Given the severity of the injury, the absence of severe long-term neurological disability is notable.Keywords: arachnoid cyst; cervical distraction; detachable balloon occlusion; dural tear; endovascular; pseudo-aneurysm; pseudomeningocele; vertebral artery
Document Type: Original article
DOI: 10.1046/j.1440-1673.1999.433688.x
Affiliations: 1: Department of Medical Imaging, General Division, The Toronto Hospital, Toronto, Canada and, 2: Department of Diagnostic Radiology, Royal Perth Hospital, Perth, WA, Australia
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