Abstract
We report the case of a 58-year-old male with a rare vascular complication after traumatic head injury: entrapment of the basilar artery into a fracture of the clivus, ultimately leading to a locked-in syndrome due to brainstem infarction. Review of the literature revealed 19 earlier published cases of basilar artery entrapment within traumatic longitudinal clival fractures. In the majority of these patients there is an unfavorable neurological outcome.
Highlights
Clival fractures are rarely seen in patients after head trauma, but when present they are associated with cranial nerve palsies, cerebrospinal fluid (CSF) leaks, and vascular injuries of the anterior and posterior circulation.[1]
We report an unusual case of entrapment of the basilar artery within a longitudinal fractured clivus, which caused pontine and midbrain infarction leading to a locked-in syndrome in a 58-year-old patient
The incidence of clivus fractures varies between 0.21% and 1.2% in cases of head trauma.[1,3]
Summary
Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture Lagrand, Tjerk J; Bruijnes, Vincent A J; Van der Stouwe, A M Madeleine; Deckers, Eric A; Mazuri, Aryan; Jacobs, Bram. Locked-In Syndrome after Traumatic Basilar Artery Entrapment within a Clivus Fracture: A Case Report and Review of the Literature. More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverneamendment. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. For technical reasons the number of authors shown on this cover page is limited to 10 maximum
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