A 46-year-old motorcyclist sustained severe cranio-facial fractures from a fall at 60 km/h. He gradually developed a left hemiparesis and diplopia but retained a GCS of 15. CT head scan revealed a longitudinal clivus fracture. MRA of intracranial vessels identified a trapped basilar artery. The patient made an excellent recovery with residual left abducens palsy on follow-up at 10 weeks. Such recovery with minimal residual deficit in the context of this injury has not previously been reported. Reported cases to date are reviewed and causative mechanisms discussed.
Longitudinal clivus fracture associated with trapped basilar artery: unusual survival with good neurological recovery. Publishing Authors By Initials
Longitudinal clivus fracture associated with trapped basilar artery: unusual survival with good neurological recovery. Journal Published:
PUBLICATION TYPE: Journal Article
Journal: Journal of clinical neuroscience : official journa
VOLUME: 11
Page Numbers: 660-3
Journal Abbreviation:
ISSN: 0967-5868
DAY: 20
MONTH: Aug
YEAR: 2004
Longitudinal clivus fracture associated with trapped basilar artery: unusual survival with good neurological recovery. Information
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LANGUAGE: eng
NlmUniqueID: 9433352
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Grant and Affiliation Information for Longitudinal clivus fracture associated with trapped basilar artery: unusual survival with good neurological recovery.
AFFILIATION: Department of Neurosurgery, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, WA 6009, Australia.
Country: Scotland
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MEDLINETA: J Clin Neurosci
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