Entrapment of the basilar artery within a clivus fracture: Case report and literature review - 08/08/19
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Abstract |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Clivus fracture, Basilar artery, Antithrombotic therapy, Arterial dissection
Plan
Vol 65 - N° 4
P. 191-194 - août 2019 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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