Blunt Craniocervical Trauma: Does the Patient Have a Cerebral Vascular Injury?

Aaron Winn, Anthony M. Durso, Catalina Restrepo Lopera, Felipe Munera

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Blunt cerebrovascular injury involves injury to the carotid and/or vertebral arteries sustained via generalized multitrauma or directed blunt craniocervical trauma. Stroke remains the most consequential outcome. Timely diagnosis and initiation of treatment before the development of neurologic complications has a well-established role in decreasing morbidity and mortality. This article presents evidence and controversies surrounding the optimization of diagnostic imaging for suspected blunt cerebrovascular injury. Discussion centers on the increasing reliance on multidetector computed tomography angiography for screening, considering relevant clinical criteria for determining screening. Imaging protocols, imaging findings, injury grading, pearls, and pitfalls are discussed.

Original languageEnglish (US)
Pages (from-to)495-507
Number of pages13
JournalNeuroimaging Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Aug 1 2018

Keywords

  • BCVI
  • Blunt
  • Carotid injury
  • Cerebrovascular injury
  • CT angiography
  • Trauma
  • Vertebral artery injury

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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