Traumatic Basilar Artery Occlusion Caused by a Fracture of the Clivus
スポンサーリンク
概要
- 論文の詳細を見る
A 56-year-old man presented with a rare traumatic basilar artery occlusion caused by a fracture of the clivus. He fell from the height of 2 meters and immediately fell into a coma. Head computed tomography (CT) revealed an open depressed fracture, an acute epidural hematoma 1 cm thick in the left middle frontal fossa, and a longitudinal fracture of the clivus. Emergency removal of the hematoma was performed with cranioplasty. Head CT 8 hours 50 minutes after injury showed infarctions in the brain stem, cerebellum, and occipital lobes. Cerebral angiography revealed occlusion of the basilar artery in the middle part of the clivus. The patient died after 3 days. Autopsy revealed that the basilar artery was trapped in the clivus fracture site. Vertebrobasilar artery occlusion due to trapping in a clivus fracture has a very poor prognosis. Diagnosis is difficult and generally only confirmed at autopsy. Cerebral angiography is recommended in a patient in a deep coma without massive brain contusion at the early stage of head injury to identify the possibility of vertebrobasilar artery occlusion in a clivus fracture.
- 日本脳神経外科学会の論文
- 2001-11-15
著者
-
FUJII Kiyotaka
Departments of Neurosurgery Kitasato University School of Medicine
-
Sato Sumito
Department of Pediatrics, Hirosaki University School of Medicine
-
Sato Sumito
Department Of Pediatrics Hirosaki University School Of Medicine
-
Fujii Kiyotaka
北里大学 医学部脳神経外科
-
OHWADA Takashi
Department of Emergency Medicine, Kitasato University School of Medicine
-
IIDA Hideo
Department of Neurosurgery, International Goodwill Hospital
-
Iida Hideo
Department Of Neurosurgery International Goodwill Hospital
-
Iida Hideo
Department Of Dermatology (unit Of Plastic Surgery) Tokyo Medical And Dental University School Of Me
-
ENDO Masataka
Department of Critical Care and Emergency Medicine, Kitasato University School of Medicine
-
Fujii Kiyotaka
Department Of Brain Sugery School Of Medicine Kitasato University
-
Endo Masataka
Department Of Neurosurgery Kitasato University School Of Medicine
-
Suzuki Sachio
Department Of Neurosurgery Kitasato University School Of Medicine
-
Ohwada Takashi
Department Of Critical Care And Emergency Medicine Kitasato University School Of Medicine
-
Hirayama Hisashi
Department of Neurosurgery, Kitasato University School of Medicine
-
Hirayama Hisashi
Department Of Neurosurgery Kitasato University School Of Medicine
-
Sato Sumito
Department of Neurosurgery, Yokohama Stroke and Brain Center
関連論文
- Acquired Lacunar Skull Deformity Following Ventriculoperitoneal Shunt Placement
- KCNJ2 mutation in intractable ventricular arrhythmia with Andersen's syndrome
- Dual-chamber pacing in hypertrophic obstructive cardiomyopathy with biventricular outflow tract obstruction and severe drug-refractory symptoms in a 9-year-old girl
- Clinical and Histopathological Studies in Children With Supraventricular Tachycardia
- KCNJ2 mutation in intractable ventricular arrhythmia with Andersen's syndrome
- Bow Hunter's Stroke Associated with an Aberrant Course of the Vertebral Artery : Case Report
- Sheehan's syndrome with osmotic myelinolysis
- Increased accumulations of N-isopropyl-p-[^I]-iodoamphetamine related to tumefactive multiple sclerosis
- Neurocysticercosis case with a single cyst in the brain showing dramatic drop in specific antibody titers within 1 year after curative surgical resection
- Radical Removal of Craniopharyngioma: A Long-term Follow-up
- Hemifacial Spasm Following a Blow to the Mandible Causing Blunt Injury to the Peripheral Facial Nerve : Case Report
- Bilateral crossed cerebello-cerebral diaschisis and mutism after surgery for cerebellar medulloblastoma
- Lumbar Spinal Subdural Hematoma Following Craniotomy : Case Report
- Anatomical Study of the Endoscopic Transnasal Transsphenoidal Approach for Pituitary Surgery
- Cystic Pineocytoma : Case Report
- Synergistic bactericidal effects of acrinol and tetracycline against Pseudomonas aeruginosa
- Synergistic bactericidal effects of acrinol and tetracycline against Pseudomonas aeruginosa
- Hemifacial Spasm Caused by CP Angle AVM Associated with Ruptured Aneurysm in the Feeding Artery : Case Report
- Arteriovenous Malfiormations in the Basal Ganglia : Surgical Indications and Approaches
- Acid-base management affects endothelium-dependent cerebral vasoreactivity in moderately hypothermic rats
- Tissue Compatibility of Aneurysm Clip with Scaled Blade Made by Different Methods of Surface Scaling Technique : in-vivo and in-vitro Experimental Studies
- Spontaneous Intracranial Hypotension with Bilateral Subdural Hematomas in a Young Man
- Histological Features of Intracranial Germinomas Not Disappearing Immediately After Radiotherapy
- Solitary Fibrous Tumor Arising From the Falx Cerebri
- Clinical Cure of Glioblastoma : Two Case Reports
- Neurocutaneous Melanosis in a Japanese adult
- Dural-pial Arteriovenous Malformation with Unusual Venous Drainage : Case Report
- Left Ventricular Asynergy Induced by Elevated Activity of Noradrenergic Nervous System : A Study of 717 Patients in Acute Phase of Subarachnoid Hemorrhage
- Intractable Seizures Associated With Proximal Migration of a Ventriculoperitoneal Shunt : Case Report
- Intraoperative detection of brain tumors and fluorescent chemonavigation
- Blurred Vision Caused by Inflammation of the Optic Nerves Due to a Pituitary Abscess
- E,N-Cadherins and beta-Catenin Expression in Medulloblastoma and Atypical Teratoid/Rhabdoid Tumor
- Prolactinoma With a High Adrenocorticotropic Hormone Level Caused by Meningitis : Case Report
- Idiopathic Spinal Cord Herniation Associated With Calcified Thoracic Disc Extrusion
- Huge Chronic Subdural Hematoma Mimicking Cerebral Infarction on Computed Tomography
- Intracranial Hemorrhage Associated With Convexity Meningioma After Cerebral Angiography : Case Report
- Migration of the Distal End of a Ventriculoperitoneal Shunt Into the Abdominal Wall in an Obese Patient : Case Report
- Supratentorial Craniotomy Using a Threadwire Saw
- Auditory Alert System for Fluorescence-Guided Resection of Gliomas
- Symptomatic Rathke's Cleft Cyst With Cavernous Sinus Syndrome
- Duraplasty in the Posterior Fossa Using a Boat-Shaped Sheet of Expanded Polytetrafluoroethylene : Technical Note
- Confirmation of the Initial Pressure Setting in Codman-Hakim Programmable Valves Under Magnification : Technical Note
- Histological Examination of False Positive Tissue Resection Using 5-Aminolevulinic Acid-Induced Fluorescence Guidance
- Pituitary Apoplexy Manifesting as Diffuse Subarachnoid Hemorrhage : Case Report
- Neuroendoscopic Appearance of an Intraventricular Cavernous Angioma Blocking the Foramen of Monro : Case Report
- Experimental photodynamic therapy with 5-aminolevulinic acid-induced protoporphyrin IX for malignant glioma
- Expression of autocrine motility factor mRNA is a poor prognostic factor in high-grade astrocytoma
- Alteration of the Pressure Setting of a Codman-Hakim Programmable Valve by a Television : Case Report
- Subcutaneous Pneumocele Associated With Ventriculoperitoneal Shunt Migration Into the Mechanically Occluded Colon : Case Report
- Dilation of Spinal Epidural Veins Caused by Spontaneous Intracranial Hypotension
- Manual Occipital Ventricular Puncture for Cerebrospinal Fluid Shunt Surgery : Can Aiming Be Standardized?
- Rupture of Pial Arteriovenous Malformation Associated With Early Thrombosis of the Draining System Following Stereotactic Radiosurgery
- Tight Sylvian Cisterns Associated With Hyperdense Areas Mimicking Subarachnoid Hemorrhage on Computed Tomography
- Unusual Accessory Cranial Sutures in Pediatric Head Trauma
- Change of Patient Position Using a Transportation Board During Lumboperitoneal Shunting : Technical Note
- Unusual Location of Anterior Communicating Artery Aneurysm Located on the Planum Sphenoidale Due to Long A_1 Segments
- Epidural Pneumatosis Associated with Pneumomediastinum Occurring at Rest
- Modified Draping to Avoid Fluid Leakage in Cranial Surgery : Technical Note
- Treatment Outcome of Nonclostridial Gas Gangrene at a Level 1 Trauma Center
- Microsurgical Treatment of Intramedullary Spinal Cord Tumors
- Case Report : Right Subclavian Artery Pseudoaneurysm due to Perforation of Esophageal Cancer
- The Pulmonary Hemodynamic Effects of 1,1,1-Trichloroethane Inhalation
- A Possible Vascular Malformation Origin for Perimesencephalic Nonaneurysmal Subarachnoid Hemorrhage
- Neurinoma of the Oculomotor Nerve : Case Report
- Significance of Vascular Notching of Optic Nerves and Chiasm on Visual Disturbance
- S-I-13. U-Form External Decompression:Bilateral Fronto-Temporo-Parietal External Decompression
- B-49. Clinical Manifestatione and Operative Procedure of Upper Cervical Lesions-C_1・C_2 Fracture Dislocation and Atoanto-Axial Dislocation
- A-5. Clinical Manifestations and Operative Results of Frontal Head Injury
- Cerebral Infarction and Fluid Collection Due to an Enlarged Dissecting Aneurysm of the Middle Cerebral Artery
- Squamous Cell Carcinoma Arising in an Epidermal Cyst in the Buttock
- Choroid Plexus Arteriovenous Malformations
- Ingrown Nails : A Comparison of the Nail Matrix Phenolization Method with the Elevation of the Nail Bed-Periosteal Flap Procedure
- 21. Acoustic Nerve Tumor : -An analysis of symptoms and sings in an attempt to establish early diagnosis-
- Thrombolytic therapy combined with embolectomy as an ideal treatment for acute occlusion of major cerebral vessels : an experimental study
- Spontaneous Regression of a Cerebral Arteriovenous Malformation : Case Report
- Effect of Spinal Cord Stretching due to Head Flexion on Intramedullary Pressure
- Acute Massive Pulmonary Thromboembolism Associated With Risperidone and Conventional Phenothiazines
- Traumatic Basilar Artery Occlusion Caused by a Fracture of the Clivus
- HAEMO-DIALYSIS/-FILTRATION USING SODIUM BICARBONATE DEPRESSES CARDIAC FUNCTION IN CRITICALLY ILL PATIENTS WITH ACUTE RENAL FAILURE
- Induction Mechanism of Small Intestinal Lesions Caused by Intravenous Injection of Endotoxin in Rats
- Linear Fractures Invisible on Routine Axial Computed Tomography : A Pitfall at Radiological Screening for Minor Head Injury
- Anchoring of Methylmethacrylate Filler to the Calvarium : Technical Note
- Radiological Features of Germinoma Arising From Atypical Locations : Three Case Reports
- Inclined Foot Switches for Surgical Microscopes : A Comfortable Design for Seated Surgeons : Technical Note
- Nevoid Basal Cell Carcinoma Syndrome With Medullobla stoma and Meningioma : Case Report
- Spinal Cord lntramedullary Pressure : Direct Cord Traction Test
- Occlusive Cerebrovascular Disease with Moyamoya Vessels and Intracranial Hemorrhage during Pregnancy : Case Report and Review of the Literature
- Rathke's Cleft Cyst With Xanthogranulomatous Change
- Difficulty of Pinching Behind the Back : An Atypical Symptom of Carpal Tunnel Syndrome Related to a Specific Wrist Position : Two Case Reports
- Tailored Flow Alteration Treatment for Intracranial Internal Carotid Artery Aneurysms : Strategy Beyond Parent Artery Occlusion With Bypass : Case Report
- Preventive Stitching for Migration of a Peritoneal Catheter Into the Abdominal Wall After Ventriculoperitoneal Shunting : Technical Note
- Depth-Adjustable Fixation of External Ventricular Drains to Counteract Obstruction in Tight Ventricles : Technical Note
- Hanging Foot Switch for Bipolar Forceps: A Device for Surgeons Operating in the Standing Position:—Technical Note—
- Hanging Foot Switch for Bipolar Forceps : A Device for Surgeons Operating in the Standing Position : Technical Note