Seminars in ultrasound, CT, and MR
-
Semin. Ultrasound CT MR · Jun 2009
Screening multidetector computed tomography angiography in the evaluation on blunt neck injuries: an evidence-based approach.
Blunt cerebrovascular injuries (BCVI) can cause ischemic stroke and are associated with high mortality rates. These injuries may have an initial silent course and if recognized in a timely fashion can be treated before neurologic deficit occurs. ⋯ However, in recent years, there has been a renewed interest in the use of noninvasive techniques, such as multidetector computed tomography angiography (MDCTA) for the evaluation of these patients. The accuracy of MDCTA with respect to digital subtraction angiography is not completely elucidated; however, MDCTA shows a level of accuracy sufficient to serve as an initial screening examination for blunt cerebrovascular injuries.