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 injury | Risk 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 |
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