• Neuroimaging Clin. N. Am. · Aug 2018

    Review

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

    • Aaron Winn, Anthony M Durso, Catalina Restrepo Lopera, and Felipe Munera.
    • Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Ryder Trauma Center, 1611 Northwest 12th Avenue, WW-279, Miami, FL 33136, USA.
    • Neuroimaging Clin. N. Am. 2018 Aug 1; 28 (3): 495-507.

    AbstractBlunt 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.Copyright © 2018 Elsevier Inc. All rights reserved.

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