Subarachnoid Haemorrhage Due to Upper Cervical Trauma
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Seventeen cases are reported in which fatal subarachnoid haemorrhage was associated with injury to the upper cervical region. Most of these cases were alcohol-intoxicated, most had sustained their injuries in an altercation, and death was usually but not invariably rapid. It is proposed that trauma to the upper cervical region can cause subarachnoid haemorrhage, by a mechanism involving tracking of blood into the subarachnoid space from a damaged vertebral artery or one of its branches.
Kageyama H, Kakumoto K, Yasuoka H, Arimoto H, Ohara Y Spinal Cord Ser Cases. 2019; 5:100.
PMID: 31871765 PMC: 6908628. DOI: 10.1038/s41394-019-0247-z.
Kim S J Pathol Transl Med. 2019; 54(2):179-183.
PMID: 31698886 PMC: 7093284. DOI: 10.4132/jptm.2019.10.15.
Vertebral Artery Dissection in Sport: A Systematic Review.
Saw A, McIntosh A, Kountouris A, Newman P, Gaida J Sports Med. 2019; 49(4):553-564.
PMID: 30758815 DOI: 10.1007/s40279-019-01066-0.
Demonstration of traumatic subarachnoid hemorrhage from the anterior choroidal artery.
Sim K, Park S, Choi H, Kim D J Korean Neurosurg Soc. 2015; 56(6):531-3.
PMID: 25628818 PMC: 4303734. DOI: 10.3340/jkns.2014.56.6.531.
Sudden unexplained death in adults caused by intracranial pathology.
Black M, Graham D J Clin Pathol. 2002; 55(1):44-50.
PMID: 11825924 PMC: 1769576. DOI: 10.1136/jcp.55.1.44.