J Korean Neurosurg Soc.  2002 Dec;32(6):578-581.

Endovascular Treatment for a Penetrating Vertebral Artery Injury: Case Report

Affiliations
  • 1Department of Neurosurgery, Bundang CHA Hospital, Pocheon CHA University, Seongnam, Korea. jyahn@cha.ac.kr
  • 2Department of Oral and Maxillofacial Surgery, Bundang CHA Hospital, Pocheon CHA University, Seongnam, Korea.
  • 3Department of Diagnostic Radiology, Bundang CHA Hospital, Pocheon CHA University, Seongnam, Korea.

Abstract

The vertebral artery injuries are rare in frequency and penetrating injuries are most likely to damage the vertebral artery as a sort of a collateral damage from striking the bony cervical spine. A 49-year-old man was struck in the face with a metal bar. The plain skull X-ray showed a long nail penetrating from the maxilla to the suboccipital area. Digital subtraction angiography revealed an injury of the left vertebral artery with a strong retrograde flow down the rostral segment and a filling with thrombus within the distal portion from injured segment. The patient underwent Guglielmi detachable coils embolization for complete isolation of the injured segment. The manual removal of the foreign body was attempted and was successfully completed.

Keyword

Endovascular occlusion; Therapeutic embolization; Trauma; Vertebral artery
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