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Non penetrating trauma to vertebral artery is a known complication in craniovertebral trauma. They are mainly reported with facet dislocations or injuries involving the foramen transversarium. Such a type of injury is rarely seen with flexion injuries. We report such a case leading to cerebellar stroke in a young male presenting to us with hemiparesis. A 43-year-old male presented to us 1 month post trauma after a motor vehicular accident with complaint of weakness of right half of the body since the trauma. He suffered blunt trauma to head and neck and complained of a flail right upper limb since trauma and weakness of the right lower limb which had partly improved. He was conservatively managed elsewhere. Radiographic investigations revealed complete occlusion of the right vertebral injury above the level of 6th cervical vertebra and flexion teardrop fracture of 5th cervical vertebra. He was managed conservatively for the vertebral artery injury (VAI) and corpectomy of C5 vertebra with anterior cervical plating and fusion. Such a rare type of injury can present with unexplained neurodeficit which needs appropriate radiological investigations for diagnosis before ascribing the cause to cord trauma. Hence, all high velocity motor vehicular accidents with associated fractures and neurodeficit should be screened for blunt VAIs.

Fusobacterium necrophorum is an anaerobic, nonspore-forming, Gram-negative bacterium that can cause localized or systemic infection. Lemierre's syndrome, postanginal sepsis and necrobacillosis are among the systemic infections caused by F. necrophorum. Lemierre's syndrome is characterized by the development of internal jugular venous thrombosis and septic emboli following classical oropharyngeal infections in healthy young adults. In this case report, we present a 26-year-old female patient with a one-week history of back pain, shoulder pain, dyspnea and fever. She was intubated and admitted to the intensive care unit with symptoms of respiratory failure on the second day. She had high fever, leukocytosis, thrombocytopenia, cholestasis, and elevated bilirubin levels. Metastatic septic embolism in the patient's lungs, internal jugular vein thrombosis and a mycotic aneurysm were detected. After planning the treatment as meropenem, gentamicin, amphotericin B, multiseptal abscess foci were found between the paravertebral muscle plans and the deep neck fascia. In addition to antimicrobial treatment, recurrent surgical procedures were implemented. Lemierre's syndrome is a rare clinical entity which has a high rate of mortality. The present case was reported with the aim of reminding such an important disease and that early diagnosis and multidisciplinary approach is life-saving. WOS:000531866700022 2-s2.0-85089125073

Introduction. Immune thrombocytopenic purpura (ITP) is an autoimmune hematological disorder that causes decreased production and destruction of platelets leading to thrombocytopenia. Although thrombocytopenia usually causes hemorrhagic problems, thrombotic events like strokes, although rare, can still occur. Management of thrombotic events in patients with ITP differs from that of patients with normal platelet count function and count.Case Description. A 32-year-old female with a history of ITP presented with ischemic stroke. The patient was treated in the hospital with IV immunoglobulin, discharged to a rehabilitation facility, and had complete resolution of symptoms when examined at a follow-up visit 3 months later.Conclusion. Although stroke in patients with ITP is very rare due to thrombocytopenia, it has been reported in several other published cases and is likely associated with increased platelet microparticle levels, a byproduct of platelet destruction. While usage of antiplatelet therapy in such patients is debated, immunosuppression therapy has been the mainstay treatment in all published cases.

The vertebral artery and the cervical spine are closely related anatomically, but damage to that vessel in cervical spinal injury and subsequent stroke involving the vertebrobasilar distribution has rarely been reported. A case of vertebrobasilar stroke following traumatic injury to the cervical spine is described. The anatomy of the vertebrobasilar system is reviewed and possible mechanisms of injury discussed. A literature review follows.

A patient rendered acutely quadriplegic in an automobile accident was shown by angiography to have occlusion of the left vertebral artery. One month later, he abruptly became unconscious, apneic and died. Autopsy showed an organised thrombus in the left vertebral artery and a fresh thrombus occluding the entire basilar artery. This case differs from previously reported cases of traumatic vertebral artery thrombosis wherein symptoms of brain stem infarction were more immediately evident.

This article contains a report and discussion of a case of cerebral infarction due to traumatic vertebral artery thrombosis associated with congenital absence of the other vertebral artery. The injury was sustained during a game of rugby football.

A case of thrombosis of the vertebral artery and an associated bursting fracture of the lower cervical spine is reported. Computed tomography revealed both the location and the spreading of the fractures of the injured spine. We recognized that the vertebral artery thrombosis was caused by an injury to the arterial wall within the fractured transverse foramen

A case is reported of a 26-year-old mother of 2 who had been taking Anovlar for 6 months and developed vertebral-artery thrombosis. The patient died after a total illness of over 7 weeks. Postmortem examination showed an antemortem thrombus embedded in the last inch of the right vertebral artery. There was no history of injury and no abnormality was found in the arterial tree of the brain apart from the thrombotic lesion. It was concluded that the contraceptive which the patient had been taking may have predisposed her to the fatal thrombosis.