A CASE OF PENETRATING STAB WOUND THAT INJURED THE VERTEBRAL ARTERY AND INDUCED CEREBELLAR INFARCTION : A CASE REPORT

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  • NAGASHIMA Futoshi
    Division of Trauma Surgery and Surgical Critical Care, Saga University
  • INOUE Satoshi
    Division of Trauma Surgery and Surgical Critical Care, Saga University
  • SHINADA Kouta
    Advanced Emergency Medicine and Critical Care Center, Saga University

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Other Title
  • 包丁による頸部刺創で左椎骨動脈損傷および小脳梗塞をきたした一例

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<p>　　A 74-year-old man was brought to our center with a self-inflicted penetrating stab wound on the left side of his neck. As marked external hemorrhage was present in Zone II of his neck on arrival, we performed temporary hemostasis for the neck stab wound and operated again on day 2. However, he developed cerebellar symptoms following the surgery and imaging studies revealed cerebellar infarction. A fragment of the knife was left between C5 and C6, which had damaged the left vertebral artery and induced cerebellar infarction. As the location of the fragment was anatomically challenging and removal may have caused uncontrollable hemorrhage, we performed conservative treatment. He was discharged on day 58 without complications such as rebleeding, pseudoaneurysm, and infection. Patients with Zone II penetrating neck injury should be evaluated for vertebral artery injury by CT and angiography confirming the entire trajectory of the object.</p>

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