{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T12:45:17Z","timestamp":1775911517841,"version":"3.50.1"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nClival fractures are a rare traumatic finding and are often the result of high-impact craniofacial trauma. Rarely, longitudinal clival fractures can be associated with incarceration of the basilar artery within the fracture and\/or the sphenoid sinus. Of the 12 reported cases of basilar incarceration, 11 of these injuries have proved to be fatal due to pontine infarction. We present a patient with basilar artery incarceration without any neurologic deficits.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nThe case reported is a 17-year-old male who presented after a motor vehicle collision with a linear and longitudinal clival fracture with entrapment of the basilar artery within the sphenoid sinus. Diagnostic subtraction angiography showed a small intimal tear with possible intraluminal thrombus. The patient was started on aspirin and at 3-month post injury had no neurologic deficits.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nBasilar artery incarceration is an injury often associated with pontine infarction secondary to basilar artery dissection and\/or thrombus developing at the site of entrapment. Our case illustrates a favorable outcome after this injury. Based on these results, antiplatelet therapy may be a viable option for prevention of brainstem infarcts in patients with this injury; however, further prospective studies must be done to assess the overall efficacy and validity of this treatment. There are no established treatment guidelines for this condition. Further research on this topic should also be tailored toward early identification of this pathology and prevention of thromboembolic sequelae of this injury.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_904_2021","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T11:20:26Z","timestamp":1648207226000},"page":"107","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Basilar artery incarceration secondary to a longitudinal clivus fracture: A rare and favorable outcome of an often devastating injury"],"prefix":"10.25259","volume":"13","author":[{"given":"Brandon Robert Winston","family":"Laing","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirad S.","family":"Hedayat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,3,25]]},"reference":[{"key":"10.25259\/SNI_904_2021\/ref-1","doi-asserted-by":"crossref","first-page":"929","DOI":"10.3171\/jns.1987.66.6.0929","article-title":"Occlusion of the basilar artery within a fracture of the clivus","volume":"66","author":"Anthony","year":"1987","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_904_2021\/ref-2","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1016\/j.jocn.2003.11.008","article-title":"Longitudinal clivus fracture associated with trapped basilar artery: Unusual survival with good neurological recovery","volume":"11","author":"Bala","year":"2004","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_904_2021\/ref-3","doi-asserted-by":"crossref","first-page":"747","DOI":"10.3346\/jkms.2008.23.4.747","article-title":"Traumatic entrapment of the vertebrobasilar junction due to a longitudinal clival fracture: A case report","volume":"23","author":"Cho","year":"2008","journal-title":"J Korean Med Sci"},{"key":"10.25259\/SNI_904_2021\/ref-4","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1001\/archneurol.2011.1155","article-title":"Brainstem infarct due to traumatic basilar artery entrapment caused by a longitudinal clival fracture","volume":"69","author":"Garcia-Garcia","year":"2012","journal-title":"Arch Neurol"},{"key":"10.25259\/SNI_904_2021\/ref-5","first-page":"1348","article-title":"Basilar Artery herniation into the sphenoid sinus resulting in pontine and cerebellar infarction: Demonstration by three-dimensional time of flight MR angiography","volume":"25","author":"Kaakaji","year":"2004","journal-title":"Am J Neuroradiol"},{"key":"10.25259\/SNI_904_2021\/ref-6","doi-asserted-by":"crossref","first-page":"356","DOI":"10.2176\/nmc.cr.2017-0197","article-title":"Endovascular intervention in basilar artery entrapment within the longitudinal clivus fracture: A case report","volume":"58","author":"Kanamori","year":"2018","journal-title":"Neurol Med Chir"},{"key":"10.25259\/SNI_904_2021\/ref-7","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1055\/s-0030-1247629","article-title":"Computed tomography and magnetic resonance imaging of a basilar artery herniation into the sphenoid sinus","volume":"20","author":"Khanna","year":"2010","journal-title":"Skull Base"},{"key":"10.25259\/SNI_904_2021\/ref-8","doi-asserted-by":"crossref","first-page":"541","DOI":"10.2176\/nmc.41.541","article-title":"Traumatic basal artery occlusion caused by a fracture of the clivus case report","volume":"41","author":"Sato","year":"2001","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_904_2021\/ref-9","doi-asserted-by":"crossref","first-page":"588","DOI":"10.3171\/jns.1968.28.6.0588","article-title":"Incarceration of the basilar artery in a fracture of the clivus. Case Report","volume":"28","author":"Sights","year":"1968","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_904_2021\/ref-10","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1097\/00005373-200006000-00023","article-title":"Incarceration of the basilar artery in a longitudinal fracture of the clivus: Case report and literature review","volume":"48","author":"Taguchi","year":"2000","journal-title":"J Trauma"},{"key":"10.25259\/SNI_904_2021\/ref-11","doi-asserted-by":"crossref","first-page":"878.e7","DOI":"10.1016\/j.wneu.2016.11.068","article-title":"Basilar artery herniation into the sphenoid sinus secondary to traumatic skull base fractures: Case report and review of the literature","volume":"98","author":"Wang","year":"2017","journal-title":"World Neurosurg"},{"key":"10.25259\/SNI_904_2021\/ref-12","doi-asserted-by":"crossref","first-page":"227","DOI":"10.3171\/2014.9.JNS14245","article-title":"Clival fractures in a level I trauma center","volume":"122","author":"Winkler-Schwartz","year":"2015","journal-title":"J Neurosurg"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/basilar-artery-incarceration-secondary-to-a-longitudinal-clivus-fracture-a-rare-and-favorable-outcome-of-an-often-devastating-injury\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/basilar-artery-incarceration-secondary-to-a-longitudinal-clivus-fracture-a-rare-and-favorable-outcome-of-an-often-devastating-injury\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T11:20:36Z","timestamp":1648207236000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/basilar-artery-incarceration-secondary-to-a-longitudinal-clivus-fracture-a-rare-and-favorable-outcome-of-an-often-devastating-injury\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,25]]},"references-count":12,"alternative-id":["10.25259\/SNI_904_2021"],"URL":"https:\/\/doi.org\/10.25259\/sni_904_2021","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,25]]},"article-number":"107"}}