Parent artery occlusion for cerebral infarction after spontaneous recanalization in traumatic vertebral artery: A case report

Background: There is no established treatment strategy for traumatic vertebral artery occlusion that does not require cervical spine repair surgery. Case Description: A 49-year-old man was brought to our hospital with traffic trauma. Fractures were observed in the left lateral mass and transverse process of Atlas occluded at level foramen transversum Atlas. No acute cerebral infarction observed. Because spinal cord compressed by fracture, surgery performed. Continuous intravenous heparin oral aspirin started occlusion. Thereafter, spontaneously recanalized, but The patient discharged home on day 16 injury. Four days later, however, he nausea lightheadedness. Acute posterior inferior cerebellar territory a thrombus V4 segment. Parent performed prevent further due distal embolization thrombus. occurred after operation modified Rankin scale score 1. Conclusion: In cases without an occlusive mechanism, parent may be considered terms recanalization risk, regardless need