{Reference Type}: Case Reports
{Title}: Bilateral vertebral artery injury leads to brain death following traumatic brain injury: a case report.
{Author}: Irawany V;Nasution VAF;Amalia N;
{Journal}: J Med Case Rep
{Volume}: 18
{Issue}: 1
{Year}: 2024 Mar 16
暂无{DOI}: 10.1186/s13256-024-04432-3
{Abstract}: <B>BACKGROUND: </B>Vertebral artery injury is a rare condition in trauma settings. In the advanced stages, it causes death.<BR><B>METHODS: </B>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><B>CONCLUSIONS: </B>Brain death due to cerebral hypoperfusion following cerebrovascular injury in this patient could be prevented by early endovascular intervention and cervical immobilisation.