Case Report

Deconstructing Dissections: A Case Report and Review of Blunt Cerebrovascular Injury of the Neck

Table 2

Screening criteria for BCVI from Denver.

Signs/symptoms of injuryRisk factors for BCVI
High energy mechanism with:

Arterial hemorrhage (i.e., from neck, nose, and mouth)Basilar skull fracture with carotid canal involvement
Cervical bruit
Expanding cervical hematoma
Focal neurological deficit
Ischemic stroke on secondary CT scan
Cervical spine fracture patterns
(i) Subluxation
(ii) Fractures extending into transverse foramen
(iii) Fractures of C1-C3
Diffuse Axonal Injury
GCS ≤ 6
LeFort II-III fracture
Near-hanging with anoxic brain injury