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Type-III Hangman's fracture combined with serious cerebrovascular injury after near-hanging: a first case report and review of the literature
R. Kaiser, K. Saur, A. Smolanka, G. Ullas, V. Beneš
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu přehledy, kazuistiky, časopisecké články
- MeSH
- fraktury páteře * komplikace diagnostické zobrazování chirurgie MeSH
- fúze páteře * MeSH
- krční obratle diagnostické zobrazování chirurgie zranění MeSH
- lidé MeSH
- poranění krku * MeSH
- vnitřní fixace fraktury MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- přehledy MeSH
Cervical fractures are rare after non-judicial hangings. Type-III Hangman's fracture (HF) is an unstable injury caused typically by motor vehicle accidents or falls. We describe the first reported case of a Type-III HF combined with occlusion of the right vertebral artery and non-occlusive dissection of both internal carotid arteries caused by near-hanging. We performed a posterior approach open reduction of dislocated C2 facets and C1 to C3 fusion. Carotid dissections were managed conservatively with long-term antiplatelet therapy. The patient survived without any neurological deficit and without any significant restriction of cervical motion.
Department of ENT Cumberland Infirmary North Cumbria University Hospitals NHS Trust Carlisle UK
Regional Centre of Neurology and Neurosurgery Uzhgorod Ukraine
Citace poskytuje Crossref.org
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- $a Cervical fractures are rare after non-judicial hangings. Type-III Hangman's fracture (HF) is an unstable injury caused typically by motor vehicle accidents or falls. We describe the first reported case of a Type-III HF combined with occlusion of the right vertebral artery and non-occlusive dissection of both internal carotid arteries caused by near-hanging. We performed a posterior approach open reduction of dislocated C2 facets and C1 to C3 fusion. Carotid dissections were managed conservatively with long-term antiplatelet therapy. The patient survived without any neurological deficit and without any significant restriction of cervical motion.
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- $a Saur, Karel $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital Prague, Prague, Czech Republic
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- $a Ullas, Gautham $u Department of ENT, Cumberland Infirmary, North Cumbria University Hospitals NHS Trust, Carlisle, UK
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- $a Beneš, Vladimír $u Department of Neurosurgery and Neurooncology, First Faculty of Medicine, Charles University and Military University Hospital Prague, Prague, Czech Republic
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