U Ratnasabapathy1, M Purcell2, J J Bhattacharya3,4. 1. Department of Neuroanaesthesia, Queen Elizabeth University Hospital, Glasgow, Scotland. 2. National Spinal Injuries Unit, Queen Elizabeth University Hospital, Glasgow, Scotland. 3. 3King Faisal Specialist Hospital and Research Center and Alfaisal University, Riyadh, Saudi Arabia. 4. Department of Neuroradiology, Queen Elizabeth University Hospital, Glasgow, Scotland.
Abstract
INTRODUCTION: Vertebro-basilar thrombosis is often lethal. We report a post-traumatic case in which logistical issues were overcome to secure prompt endovascular intervention resulting in a favourable outcome. CASE PRESENTATION: We report this case to highlight (i) the need, across the United Kingdom, for rapid access to 24/7 neurointerventional services and (ii) the fact that vertebral artery injury during C-spine trauma, while not uncommon, can rarely have catastrophic complications. DISCUSSION: Vertebral artery injuries during C-spine trauma can rarely present as a neurovascular emergency requiring neurointerventional rescue. It is our opinion that patients with neurovascular emergencies merit 24/7 neurointerventional services, akin to those provided for acute coronary syndromes.
INTRODUCTION: Vertebro-basilar thrombosis is often lethal. We report a post-traumatic case in which logistical issues were overcome to secure prompt endovascular intervention resulting in a favourable outcome. CASE PRESENTATION: We report this case to highlight (i) the need, across the United Kingdom, for rapid access to 24/7 neurointerventional services and (ii) the fact that vertebral artery injury during C-spine trauma, while not uncommon, can rarely have catastrophic complications. DISCUSSION: Vertebral artery injuries during C-spine trauma can rarely present as a neurovascular emergency requiring neurointerventional rescue. It is our opinion that patients with neurovascular emergencies merit 24/7 neurointerventional services, akin to those provided for acute coronary syndromes.
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