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Asymptomatic blunt vertebral artery injury after cervical spine nonpenetrating trauma]
Authors:M Nang  C Brousse  J-P Montigny  B Boisaubert
Institution:1. Clinique neurochirurgicale, CHU de Fann, avenue Cheikh Anta Diop, BP 5035, Dakar-Fann, Sénégal;2. Département d’orthopédie-traumatologie et neurochirurgie, hôpital Principal de Dakar, avenue Nelson Mandela, BP 3006, Dakar, Sénégal;1. Service de chirurgie orthopédique et traumatologique, hôpital Pitié-Salpêtrière, 47, boulevard de l’Hôpital, 75013 Paris, France;2. Laboratoire de biomécanique, Arts et Métiers Paristech, 151, boulevard de l’Hôpital, 75013 Paris, France;3. Service de chirurgie orthopédique et traumatologique, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France;1. Department of Neurosurgery, Klinikum Kassel, Mönchebergstraße 41-43, 34125 Kassel, Germany;2. Deparment of Neurology, Klinikum Kassel, Mönchebergstraße 41-43, 34125 Kassel, Germany
Abstract:OBJECTIVE: To show the possibility of vertebral injury after cervical spine trauma. METHOD: We observed 2 cases of asymptomatic thrombosis of the vertebral artery after cervical fracture. DISCUSSION: Thrombosis of the vertebral artery is acute in 20% of cases of cervical trauma. It may be asymptomatic. Magnetic resonance angiography is the best noninvasive investigation for such cases to systematically detect the complication. Treatment with anticoagulants or antiaggregants should be initiated.
Keywords:
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