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Blunt Cerebrovascular Injuries: Advances in Screening, Imaging, and Management Trends
Journal article   Open access   Peer reviewed

Blunt Cerebrovascular Injuries: Advances in Screening, Imaging, and Management Trends

P Nagpal, B A Policeni, G Bathla, A Khandelwal, C Derdeyn and D Skeete
American journal of neuroradiology : AJNR, Vol.39(3), pp.406-414
10/12/2017
DOI: 10.3174/ajnr.A5412
PMID: 29025722
url
https://doi.org/10.3174/ajnr.A5412View
Published (Version of record) Open Access

Abstract

Blunt cerebrovascular injury is a relatively uncommon but sometimes life-threatening injury, particularly in patients presenting with ischemic symptoms in that vascular territory. The decision to pursue vascular imaging (generally CT angiography) is based on clinical and imaging findings. Several grading scales or screening criteria have been developed to guide the decision to pursue vascular imaging, as well as to recommend different treatment options for various injuries. The data supporting many of these guidelines and options are limited however. The purpose of this article is to review and compare these scales and criteria and the data supporting clinical efficacy and to make recommendations for future research in this area.

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