TY  - JOUR
PY  - 2024//
TI  - Bilateral vertebral artery injury leads to brain death following traumatic brain injury: a case report
JO  - Journal of medical case reports
A1  - Irawany, Vera
A1  - Nasution, Vizzi A. F.
A1  - Amalia, Noorcahya
SP  - e106
EP  - e106
VL  - 18
IS  - 1
N2  - 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>
LA  - en
SN  - 1752-1947
UR  - http://dx.doi.org/10.1186/s13256-024-04432-3
ID  - ref1
ER  -