ArticleEuropean radiology2016
Association between cervical spine and skull-base fractures and blunt cerebrovascular injury.
Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The trial behind it
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Who cites it
9 citing papers in PubMed, 33 citations in OpenAlex.
- Neuroimaging for neurovascular complications of traumatic brain injury.Critical care (London, England) · 2025Review
- Imaging of cerebrovascular complications from blunt skull base trauma.Emergency radiology · 2024Review
- Diagnosis and treatment of vertebral artery injuries due to blunt trauma: A case series.Trauma case reports · 2023Article
- Blunt cerebrovascular injury of cervical and petrous ICA with stroke: A case study.Trauma case reports · 2022Article
- Statistical learning of blunt cerebrovascular injury risk factors using the elastic net.Emergency radiology · 2021Article
- Blunt traumatic vascular injuries of the head and neck in the ED.Emergency radiology · 2019Review
- Traumatic vertebral artery injury: a review of the screening criteria, imaging spectrum, mimics, and pitfalls.Polish journal of radiology · 2019Review
- Article
- Blunt Cerebrovascular Injuries: Advances in Screening, Imaging, and Management Trends.AJNR. American journal of neuroradiology · 2017Review
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionBlunt cerebrovascular injuries (BCVI) are associated with high morbidity and mortality and can lead to neurological deficits. The established criteria for patients undergoing CT angiography (CTA) for BCVI are broad, and can expose patients to radiation unnecessarily. This study aimed to examine the prevalence of BCVI in patients on CTA and determine presentations associated with the highest rates of BCVI. MATERIALS AND
methodsWith IRB approval, patients were selected for CTA screening for BCVI according to a predefined set of criteria at our hospital between 2007 and 2010. Patients were identified from our institution's trauma database. CTAs were retrospectively reviewed for BCVI including vasospasm and dissection. Electronic medical records were reviewed for clinical presentation and hospital course.
resultsOf 432 patients, vasospasm (n = 10) and/or dissection (n = 36) were found in 46 patients (10.6%). BCVI was associated with cervical spine and/or skull-base fracture in 40/46 patients (87%, P < 0.0001). Significant correlations were seen between dissection and fracture in 31/36 patients (86.2%, p < 0.0001) and between BCVI and both neurological deficits and fractures (27/44, P < 0.0001).
conclusionBCVI was significantly associated with cervical and/or skullbase fractures and neurological deficits with coexistent fractures. Patients with these injuries should be prioritized for rapid CTA evaluation for BCVI. KEY POINTS: • CTA screening is important to identify patients with underlying BCVI • Cervical spine and/or skullbase fractures were significantly associated with BCVI • BCVI may occur in up to 11% of patients with blunt trauma injuries.
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Registered trials
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