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ID 48085
JaLCDOI
フルテキストURL
Thumnail 66_1_77.pdf 2.68 MB
著者
Zhang, Wei Department of Orthopaedic Surgery, Okayama University Hospital
Tanaka, Masato Department of Orthopaedic Surgery, Okayama University Hospital
Sugimoto, Yoshihisa Department of Orthopaedic Surgery, Okayama University Hospital
Ikuma, Hisanori Department of Orthopaedic Surgery, Okayama University Hospital
Nakanishi, Kazuo Department of Orthopaedic Surgery, Okayama University Hospital
Misawa, Haruo Department of Orthopaedic Surgery, Okayama University Hospital
抄録
Many authors have reported on iatrogenic vertebral artery (VA) injury, but, to our knowledge, this is the first report of a dominant VA injury with compensatory blood flow from the hypoplastic VA. A 23-year-old woman with juvenile rheumatoid arthritis and atlantoaxial subluxation sustained injury to her dominant VA after occipitocervical fusion using transarticular screws. This did not result in lethal consequences due to compensation from her hypoplastic contralateral VA. Postoperative angiography, however, illustrated occlusion of the dominant left side, while the hypoplastic VA of the right side was enlarged. The patient experienced vertigo and loss of consciousness several times during rehabilitation. At the 4-year follow-up exam, bony fusion was observed, with no neurological deficits or correction loss. She had had no episodes of unconsciousness and no recurrence of any symptoms over the previous 3 years.
キーワード
atlantoaxial subluxation
vertebral artery injury
transarticular screw
rheumatoid arthritis
Amo Type
Case Report
発行日
2012-02
出版物タイトル
Acta Medica Okayama
66巻
1号
出版者
Okayama University Medical School
開始ページ
77
終了ページ
81
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2012 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT