Abstract

Injury of the vertebral artery and the cervical parts of the internal carotid arteries represents a rarely encountered combination of injuries, which increases the likelihood of infarction and carries the risk that one of the diagnoses could be missed. This rare injury is reported in l-2 per cent of blunt injuries to the neck6r9z1’. The close anatomic relationship between vertebral arteries and cervical vertebrae makes it likely that dislocating spinal injuries may cause stenosis or occlusion of one or both of these arteries12. Frequent findings are pseudoaneurysms’4, arterial embolP or occlusion of the vertebral artery13,22. Most common causes are penetrating injuries of the neck4,14 diving;, sports injuries such as football, wrestling or chiropractic manipulatiorP and closed injuries of the head and neck 5. This paper presents a case with non-penetrating injury of the neck in a young patient, causing injury to the cervical spine and to the vertebral and carotid arteries without neurological sequelae.

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