Computed tomography and magnetic resonance imaging of a basilar artery herniation into the sphenoid sinus

Pavan Khanna, Matthew Bobinski

Research output: Contribution to journalArticle

6 Scopus citations


We report a rare case of herniation of a basilar artery into the sphenoid sinus after a traumatic skull base fracture. Computed tomographic angiography, magnetic resonance imaging, and cerebral angiogram demonstrated patency of the basilar artery through the fractured clivus at the time of injury, a very rare occurrence. The following day, the patient developed pontine and cerebellar infarcts. In a patient with clival fracture, we advocate fast assessment of vertebrobasilar system with CTA and early anticoagulation treatment in those with vascular entrapment.

Original languageEnglish (US)
Pages (from-to)269-273
Number of pages5
JournalSkull Base
Issue number4
StatePublished - 2010



  • Basilar artery
  • clivus
  • CT
  • fracture
  • herniation
  • MR

ASJC Scopus subject areas

  • Clinical Neurology

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