Carotid artery injuries are not common in trauma patients although they are associated with a high morbidity and mortality. The practician needs to have a high level of suspicion in trauma patients with injuries of the neck and skull, and always taking into consideration the mechanism of injury. Prompt diagnosis and treatment are imperative for optimal results. This review aims to focus on main...

This pathway provides guidance for cerebrovascular imaging of blunt trauma patients who are at increased risk of cerebrovascular injury following their trauma. Date reviewed: August 2013 Date of next review: 2017/2018 Published: August 2013 Quick User Guide Move the mouse cursor over the PINK text boxes inside the flow chart to bring up a pop up box with salient points. Clicking on the PINK tex...

Cases Traumatic intracranial aneurysm following blunt head injury is uncommon but can be induced by extension of skull base fracture and causes unexpected hemorrhagic complications. We present two cases of traumatic intracranial aneurysm in the paraclinoid area that was revealed by delayed massive epistaxis. Lack of initial neurological deficits omitted screening for cerebrovascular injury. O...

BACKGROUND Carotid stenting has been advocated in patients with grade III blunt carotid artery injuries (hereafter referred to as "blunt CAIs") because of the persistence of the pseudoaneurysm and concern for subsequent embolization or rupture. HYPOTHESIS Carotid stenting is safe and effective for blunt CAIs. DESIGN Analysis of a prospective database of all patients with blunt CAIs. SETTI...

We describe five patients with blunt traumatic carotid dissection with delayed clinical presentation that varied from 2 weeks to 6 months. Four patients had severe head injury, and one patient had direct blunt trauma to the neck. Cerebrovascular symptoms developed in four patients. The fifth patient suffered loss of vision as a result of a concurrent giant intracranial dissecting aneurysm. Arte...

BACKGROUND Ischemic stroke occurs in a significant subset of patients with blunt traumatic cerebrovascular injury (TCVI). The patients are victims of motor vehicle crashes, assaults or other high-energy collisions, and suffer ischemic stroke due to injury to the extracranial carotid or vertebral arteries. SUMMARY An increasing number of patients with TCVI are being identified, largely because...

INTRODUCTION Blunt injury to the carotid and vertebral arteries is uncommon and potentially devastating. Neurofibromatosis type 1, or von Recklinghausen's disease is an autosomal dominant disorder affecting one in 3000 individuals. This genetic disease may affect many organs, including vessels. CASE PRESENTATION This report describes a very unusual case of multiple traumatic arterial injuries...

T raumatic extracranial carotid lesions can result from blunt, penetrating, or iatrogenic injuries. Blunt cerebrovascular injuries are found in up to 0.1% of all patients hospitalized for trauma in the United States, but the incidence can be as high as 2.7% in patients with an Injury Severity Score > 16.1 Of note, blunt lesions are associated with neurologic morbidity up to 80% and mortality as...