@article{ref1,
title="Bilateral vertebral artery injury leads to brain death following traumatic brain injury: a case report",
journal="Journal of medical case reports",
year="2024",
author="Irawany, Vera and Nasution, Vizzi A. F. and Amalia, Noorcahya",
volume="18",
number="1",
pages="e106-e106",
abstract="BACKGROUND: Vertebral artery injury is a rare condition in trauma settings. In the advanced stages, it causes death. CASE: A 31-year-old Sundanese woman with cerebral edema, C2-C3 anterolisthesis, and Le Fort III fracture after a motorcycle accident was admitted to the emergency room. On the fifth day, she underwent arch bar maxillomandibular application and debridement in general anesthesia with a hyperextended neck position. Unfortunately, her rigid neck collar was removed in the high care unit before surgery. Her condition deteriorated 72 hours after surgery. Digital subtraction angiography revealed a grade 5 bilateral vertebral artery injury due to cervical spine displacement and a grade 4 left internal carotid artery injury with a carotid cavernous fistula (CCF). The patient was declared brain death as not improved cerebral perfusion after CCF coiling. <br><br>CONCLUSIONS: Brain death due to cerebral hypoperfusion following cerebrovascular injury in this patient could be prevented by early endovascular intervention and cervical immobilisation.<p /> <p>Language: en</p>",
language="en",
issn="1752-1947",
doi="10.1186/s13256-024-04432-3",
url="http://dx.doi.org/10.1186/s13256-024-04432-3"
}