Glass Fragment-Induced Vertebral Artery Injury: A Unique Case Report

Authors

  • Keisuke Mizuno Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan and Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan. https://orcid.org/0000-0003-4212-4135
  • Shogo Shinohara Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan. https://orcid.org/0000-0002-1794-2091
  • Yoshihiro Omura Department of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Hirotoshi Imamura Department of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Masashi Shigeyasu Department of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Tetsuhiko Michida Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Kiyomi Hamaguchi Department of Otolaryngology, Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • Shinji Takebayashi Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Keizo Fujiwara Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
  • Yasushi Naito Department of Otolaryngology, Head and Neck Surgery, Kobe City Medical Center General Hospital, Hyogo, Japan.

DOI:

https://doi.org/10.9734/bpi/cpmmr/v4/7028A

Keywords:

Traumatic injuries, vertebral artery, embolization, pseudoaneurysm rupture

Abstract

This chapter discuss about a case report for the management of vertebral artery (VA) injuries resulting from trauma to the neck, with a specific focus on a unique case involving an 82-year-old man. The patient presented with penetrating neck injuries caused by broken glass, leading to VA injury and the formation of a pseudoaneurysm. We did interventional angiography, blocked the right VA, and then underwent neck surgery because it was possible that severe bleeding had occurred during the exploration surrounding the pseudoaneurysm. We did the surgical procedure to remove the glasses five days after the embolisation. There was no bleeding during and after the operation, and the patient was dis- charged without any complication. Based on the angiography results and the visibility of the injured VA in the operating field, the surgeon can choose the appropriate treatment method.

Published

2023-07-24

How to Cite

Keisuke Mizuno, Shogo Shinohara, Yoshihiro Omura, Hirotoshi Imamura, Masashi Shigeyasu, Tetsuhiko Michida, … Yasushi Naito. (2023). Glass Fragment-Induced Vertebral Artery Injury: A Unique Case Report. Current Progress in Medicine and Medical Research Vol. 4, 83–91. https://doi.org/10.9734/bpi/cpmmr/v4/7028A