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A Metallic Screw Gun-Traumatic Vertebral Artery Dissection Injury: A Case Report and Literature Review
Abdulaziz Y Alahmed1, Osama A Barnawi1, Abdullah S Alali2
1Neurosurgery, Aseer Central Hospital, Abha, SAU.
Cureus
|July 8, 2026
Summary
Traumatic vertebral artery dissection (VAD) from penetrating injury can be managed successfully. This case report highlights a rare VAD mechanism and favorable outcomes with staged endovascular and surgical intervention.
Area of Science:
- Neurosurgery
- Vascular Surgery
- Radiology
Background:
- Traumatic vertebral artery dissection (VAD) involves intimal tears, leading to stenosis and potential stroke.
- Segments V2 and V3 are most vulnerable due to neck motion and mechanical stress.
- Complications include stroke, thromboembolism, subarachnoid hemorrhage, and pseudoaneurysm.