{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:33:13Z","timestamp":1769725993044,"version":"3.49.0"},"reference-count":72,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"11","license":[{"start":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T00:00:00Z","timestamp":1757894400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,9,15]]},"abstract":"\n BACKGROUND<\/jats:title>\n Traumatic vertebral artery injury (TVAI) is a serious yet underdiagnosed complication of cervical spine trauma, with an incidence ranging from 0.1% to 3.2%. While its neurological sequelae vary, the risk of vertebrobasilar ischemia can be as high as 33.3%. The authors present a rare case of bilateral vertebral artery occlusion with concomitant basilar artery occlusion following C4\u20135 anterolisthesis.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n The patient initially exhibited no clinical signs of vertebrobasilar ischemia. Diagnosis was achieved through vascular imaging, and successful endovascular thrombectomy with thrombus removal was performed. Unique to this case, manual cervical reduction was carried out in the endovascular suite while maintaining catheter placement in an effort to prevent recurrent dissection or emboli migration.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n Given the transient nature of vertebrobasilar ischemia, repeated imaging and neurological monitoring are crucial for timely intervention. This case highlights the importance of establishing standardized screening and treatment protocols to optimize outcomes and prevent further complications in patients with TVAI.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE25155<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case25155","type":"journal-article","created":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T00:26:39Z","timestamp":1758587199000},"source":"Crossref","is-referenced-by-count":0,"title":["A unique management strategy to bilateral vertebral artery occlusion following cervical trauma: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Carlos E.","family":"Calder\u00f3n-Valero","sequence":"first","affiliation":[{"name":"School of Medicine, University of Puerto Rico\u2013Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7642-0819","authenticated-orcid":true,"given":"Esteban","family":"Rivera-Rivera","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Puerto Rico\u2013Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Pastrana-Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Neurosurgery Section, University of Puerto Rico\u2013Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan C.","family":"Vicenty-Padilla","sequence":"additional","affiliation":[{"name":"Neurosurgery Section, University of Puerto Rico\u2013Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Glob Spine J","first-page":"1356","article-title":"A systematic review and meta-analysis of vertebral artery injury after cervical spine trauma","volume":"14","author":"Goyal","year":"2024","unstructured":"Goyal KSunny JTGillespie CSA systematic review and meta-analysis of vertebral artery injury after cervical spine trauma. Glob Spine J. 2024;14(4):1356-1368."},{"issue":"9","key":"bib2","series-title":"Spine (Phila Pa 1976)","first-page":"1171","article-title":"Vertebral artery occlusion after acute cervical spine trauma","volume":"25","author":"Veras","year":"2000","unstructured":"Veras LMPedraza-Guti\u00e9rrez SCastellanos JCapellades JCasamitjana JRovira-Ca\u00f1ellas A.Vertebral artery occlusion after acute cervical spine trauma. Spine (Phila Pa 1976). 2000;25(9):1171-1177."},{"issue":"6","key":"bib3","series-title":"Ulus Travma Acil Cerrahi Derg","first-page":"697","article-title":"Bilateral vertebral artery occlusion after traumatic complete disruption of the cervical spine associated with ankylosing spondylitis","volume":"27","author":"Benek","year":"2021","unstructured":"Benek BYilmaz HAk\u00e7ay EYurt A.Bilateral vertebral artery occlusion after traumatic complete disruption of the cervical spine associated with ankylosing spondylitis. Ulus Travma Acil Cerrahi Derg. 2021;27(6):697-701."},{"issue":"5","key":"bib4","series-title":"Ortop Traumatol Rehabil","first-page":"369","article-title":"Vertebral artery dissection following cervical spine injury as a diagnostic challenge. Case study","volume":"21","author":"Dobies-Krze\u015bniak","year":"2019","unstructured":"Dobies-Krze\u015bniak BTarnacka B.Vertebral artery dissection following cervical spine injury as a diagnostic challenge. Case study. Ortop Traumatol Rehabil. 2019;21(5):369-378."},{"issue":"2","key":"bib5","series-title":"Korean J Neurotrauma","first-page":"374","article-title":"Occlusion of both vertebral arteries with development of collateral circulation from the deep cervical artery after cervical spine trauma","volume":"18","author":"Son","year":"2022","unstructured":"Son JIAn TYKo MJPark SWLee YS.Occlusion of both vertebral arteries with development of collateral circulation from the deep cervical artery after cervical spine trauma. 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Korean J Neurotrauma. 2022;18(2):374-379."},{"issue":"8","key":"bib6","series-title":"Cureus","first-page":"e5538","article-title":"C2-3 fracture dislocation and bilateral vertebral artery occlusion without neurological injury: a case report","volume":"11","author":"Kiessling","year":"2019","unstructured":"Kiessling JWWhitney EFiani BKhan YRMahato D.C2-3 fracture dislocation and bilateral vertebral artery occlusion without neurological injury: a case report. Cureus. 2019;11(8):e5538."},{"key":"bib7","series-title":"World Neurosurg","first-page":"304","article-title":"Bilateral vertebral artery occlusion after cervical spine fracture dislocation","volume":"124","author":"Strickland","year":"2019","unstructured":"Strickland BLewis CSPham MH.Bilateral vertebral artery occlusion after cervical spine fracture dislocation. 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