Abstract

Background: Cervical spine injuries can result in significant neurological complications, including ischemic events in the brain. This case report highlights the intricate relationship between cervical spine injuries and subsequent cerebrovascular complications.

Case Presentation: A 45-year-old male presented following a road traffic accident (RTA) with quadriparesis and Type 2 respiratory failure. Despite receiving ventilatory support, the patient exhibited progressive drowsiness. Initial imaging with a CT scan of the cervical spine confirmed a cervical spine injury. Further evaluation through MRI of the brain revealed right cerebellar ischemia, prompting consideration of vertebral artery dissection as a potential underlying cause.

Discussion: This case underscores the critical importance of prompt imaging and intervention in patients with cervical spine injuries, especially when neurological deterioration occurs. The association between cervical spine trauma and vertebral artery dissection necessitates heightened awareness among clinicians to prevent delayed diagnoses and optimize patient outcomes.

Conclusion: Cervical spine injuries can have far-reaching consequences, including the development of cerebellar infarcts. Timely recognition and management of associated vascular complications are essential in the care of post-trauma patients.

Correspondence:

Dr. Md. Imdadul Hoque Chowdhury
MD Phase-B Resident
Critical Care Medicine
Dhaka Medical college