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Endovascular remedy with tirofiban in the course of the acute stage of cervical spinal wire infarction attributable to vertebral artery dissection.
J Spinal Wire Med. 2018 Jan 11;:1-Four
Authors: Wu Y, Li W, Xie X, Jing Z, Lu W, Huang L
Summary
CONTEXT: Cervical spinal wire infarction is a uncommon and extreme complication of vertebral artery dissection (VAD). We report a case of VAD in an acute stage adopted by cervical spinal wire infarction that was handled utilizing direct endovascular tirofiban infusion through digital subtraction angiography (DSA) monitoring.
FINDINGS: A 48-year-old man introduced with vertigo, neck ache, numbness and weak spot in 4 limbs with subsequent cardiac and respiratory arrest. Neurological examination revealed hypoesthesia under the neck with grade one myodynamia on the precise facet of the limbs and 0 on the left facet. The analysis of VAD-related cervical spinal infarction was confirmed utilizing DSA imaging and cervical vertebra magnetic resonance imaging (MRI). The affected person acquired well timed remedy with endovascular tirofiban infusion and achieved good final result with none sequelae.
CONCLUSION: Endovascular remedy with tirofiban could also be a selective selection for cervical spinal wire infarction attributable to VAD in acute stage and warrants additional examine.
PMID: 29323631 [PubMed – as supplied by publisher]