Entrapment of the basilar artery within a clivus fracture: Case report and literature review

A review of the literature revealed that basilar artery (BA) entrapment is a very rare (17 cases published) and severe pathological condition, which often leads to death. We report the case of a 72-year-old man who presented with a longitudinal clivus fracture associated with a basilar artery entrap...

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Published inNeuro-chirurgie Vol. 65; no. 4; pp. 191 - 194
Main Authors Metayer, T., Emery, E., Cogez, J., Barbier, C., Gaberel, T.
Format Journal Article
LanguageEnglish
Published France Elsevier Masson SAS 01.08.2019
Subjects
Antithrombotic therapy
Arterial dissection
Basilar artery
Clivus fracture
Basilar artery
Arterial dissection
Clivus fracture
Antithrombotic therapy
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Summary:A review of the literature revealed that basilar artery (BA) entrapment is a very rare (17 cases published) and severe pathological condition, which often leads to death. We report the case of a 72-year-old man who presented with a longitudinal clivus fracture associated with a basilar artery entrapment. This entrapment was responsible for a basilar artery dissection, which led to an ischemic stroke in the pons. The patient was managed with medical treatment, mainly to avoid a progression towards an ischemic stroke. It consisted of heparin therapy followed by antiplatelet therapy, which finally resulted in a successful outcome. In BA entrapment most of the patients who had a favorable outcome received antithrombotic therapy. This suggests that antithrombotic therapy might be useful in the first line treatment of post-traumatic BA entrapment.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0028-3770
1773-0619
DOI:10.1016/j.neuchi.2019.03.123