Occlusion of the basilar artery within a fracture of the clivus. Case report

J Neurosurg. 1987 Jun;66(6):929-31. doi: 10.3171/jns.1987.66.6.0929.


Following a 15-foot fall from a roof, a 70-year-old man became comatose and developed signs of pontine dysfunction. There was a severely comminuted fracture of the distal left femur suggesting that he had landed in an upright position. It was clinically unclear whether the fall was secondary to a pontine infarct; however, an autopsy revealed a fracture of the clivus which had entrapped and occluded the basilar artery, causing death. These findings, and those in similar cases, suggest that this entity results from a force transmitted in an axial direction.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Basilar Artery*
  • Constriction, Pathologic / complications
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / pathology
  • Cranial Fossa, Posterior
  • Fractures, Bone / complications*
  • Fractures, Bone / etiology
  • Fractures, Bone / pathology
  • Humans
  • Male
  • Skull / injuries*
  • Skull / pathology