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Indian Journal of Neurotrauma 2015; 12(02): 135-139
DOI: 10.1055/s-0035-1570452
DOI: 10.1055/s-0035-1570452
Original Article
Evaluation of Neck Vessel Injury in Patients with Blunt Trauma to the Cervical Spine
Further Information
Publication History
08 June 2015
20 November 2015
Publication Date:
18 December 2015 (online)
Abstract
Injuries to the neck vessels often go undiagnosed in patients with cervical spinal trauma. In this prospective study, 50 patients of cervical spine injury who were hemodynamically stable were evaluated by CT angiogram for presence or absence of carotid and/or vertebral artery injury. Three (6%) patients were diagnosed to have vertebral artery injury. None of the patients had a carotid artery injury. The clinical presentation and management protocol are discussed.
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References
- 1 Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Burch JM. Blunt carotid arterial injuries: implications of a new grading scale. J Trauma 1999; 47 (5) 845-853
- 2 Miller PR, Fabian TC, Croce MA , et al. Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. Ann Surg 2002; 236 (3) 386-393 , discussion 393–395
- 3 Sliker CW, Shanmuganathan K, Mirvis SE. Diagnosis of blunt cerebrovascular injuries with 16-MDCT: accuracy of whole-body MDCT compared with neck MDCT angiography. AJR Am J Roentgenol 2008; 190 (3) 790-799
- 4 Golueke P, Sclafani S, Phillips T, Goldstein A, Scalea T, Duncan A. Vertebral artery injury—diagnosis and management. J Trauma 1987; 27 (8) 856-865
- 5 Moar JJ. Traumatic rupture of the cervical carotid arteries: an autopsy and histopathological study of 200 cases. Forensic Sci Int 1987; 34 (4) 227-244
- 6 Mueller CA, Peters I, Podlogar M , et al. Vertebral artery injuries following cervical spine trauma: a prospective observational study. Eur Spine J 2011; 20 (12) 2202-2209
- 7 Veras LM, Pedraza-Gutiérrez S, Castellanos J, Capellades J, Casamitjana J, Rovira-Cañellas A. Vertebral artery occlusion after acute cervical spine trauma. Spine 2000; 25 (9) 1171-1177
- 8 Biffl WL, Ray Jr CE, Moore EE, Mestek M, Johnson JL, Burch JM. Noninvasive diagnosis of blunt cerebrovascular injuries: a preliminary report. J Trauma 2002; 53 (5) 850-856
- 9 Bose B, Northrup BE, Osterholm JL. Delayed vertebro-basilar insufficiency following cervical spine injury. Spine 1985; 10 (1) 108-110
- 10 Cothren CC, Moore EE, Biffl WL , et al. Cervical spine fracture patterns predictive of blunt vertebral artery injury. J Trauma 2003; 55 (5) 811-813
- 11 Giacobetti FB, Vaccaro AR, Bos-Giacobetti MA , et al. Vertebral artery occlusion associated with cervical spine trauma. A prospective analysis. Spine 1997; 22 (2) 188-192
- 12 Parbhoo AH, Govender S, Corr P. Vertebral artery injury in cervical spine trauma. Injury 2001; 32 (7) 565-568
- 13 Taneichi H, Suda K, Kajino T, Kaneda K. Traumatically induced vertebral artery occlusion associated with cervical spine injuries: prospective study using magnetic resonance angiography. Spine 2005; 30 (17) 1955-1962
- 14 Vaccaro AR, Klein GR, Flanders AE, Albert TJ, Balderston RA, Cotler JM. Long-term evaluation of vertebral artery injuries following cervical spine trauma using magnetic resonance angiography. Spine 1998; 23 (7) 789-794 , discussion 795
- 15 Pelkonen O, Tikkakoski T, Leinonen S, Pyhtinen J, Lepojärvi M, Sotaniemi K. Extracranial internal carotid and vertebral artery dissections: angiographic spectrum, course and prognosis. Neuroradiology 2003; 45 (2) 71-77
- 16 Sheth TN, Winslow JL, Mikulis DJ. Rotational changes in the morphology of the vertebral artery at a common site of artery dissection. Can Assoc Radiol J 2001; 52 (4) 236-241
- 17 Nunnink L. Blunt carotid artery injury. Emerg Med (Fremantle) 2002; 14 (4) 412-421
- 18 Woodring JH, Lee C, Duncan V. Transverse process fractures of the cervical vertebrae: are they insignificant?. J Trauma 1993; 34 (6) 797-802
- 19 Berne JD, Reuland KS, Villarreal DH, McGovern TM, Rowe SA, Norwood SH. Sixteen-slice multi-detector computed tomographic angiography improves the accuracy of screening for blunt cerebrovascular injury. J Trauma 2006; 60 (6) 1204-1209 , discussion 1209–1210
- 20 Bassetti C, Carruzzo A, Sturzenegger M, Tuncdogan E. Recurrence of cervical artery dissection. A prospective study of 81 patients. Stroke 1996; 27 (10) 1804-1807
- 21 Touzé E, Gauvrit JY, Moulin T, Meder JF, Bracard S, Mas JL ; Multicenter Survey on Natural History of Cervical Artery Dissection. Risk of stroke and recurrent dissection after a cervical artery dissection: a multicenter study. Neurology 2003; 61 (10) 1347-1351
- 22 Biffl WL, Cothren CC, Moore EE , et al. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma 2009; 67 (6) 1150-1153
- 23 Cothren CC, Moore EE, Ray Jr CE , et al. Screening for blunt cerebrovascular injuries is cost-effective. Am J Surg 2005; 190 (6) 845-849