Experience and lessons learned from blunt cerebrovascular injuries: A case report

被引:1
作者
Zheng, Chong [1 ,2 ]
Kong, Derui [1 ,2 ]
Liu, Xiangyu [1 ,2 ]
Zhao, Kexin [1 ,2 ]
Zhou, Hongwei [2 ]
Ji, Tiefeng [2 ]
机构
[1] First Hosp Jilin Univ, Dept Radiol, Changchun, Peoples R China
[2] Jilin Univ, Changchun, Peoples R China
关键词
Blunt cerebrovascular injury; Trauma; Carotid artery; Stroke; EASTERN ASSOCIATION; MANAGEMENT; SURGERY;
D O I
10.1016/j.heliyon.2023.e13968
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Blunt cerebrovascular injuries are rare and serious complications of trauma that can lead to cerebral vascular dissection or aneurysm. Improving awareness of blunt cerebrovascular injuries and using computed tomography angiography to pre-screen patients at high risk is recommended by current guidelines to prevent the occurrence of ischemic stroke complications.Case description: A 32-year-old male patient was admitted to the hospital following neck trauma accompanied by stroke symptoms. Imaging revealed intimal injury of the right common carotid artery and acute cerebral infarction. After an endarterectomy and repair, the vascular lumen obstruction resolved, blood flow was restored, and the patient's condition stabilized.Conclusion: Blunt cerebrovascular injury has been seriously neglected in clinical practice. Delayed or under-diagnosis of blunt cerebrovascular injury can result large strokes. Standardized treatment protocols, which include the screening and grading of blunt cerebrovascular injury, may reduce the risk of permanent neurological dysfunction, and even death, in patients.
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页数:7
相关论文
共 16 条
[1]   Blunt Cerebrovascular Injury Practice Management Guidelines: The Eastern Association for the Surgery of Trauma [J].
Bromberg, William J. ;
Collier, Bryan C. ;
Diebel, Larry N. ;
Dwyer, Kevin M. ;
Holevar, Michelle R. ;
Jacobs, David G. ;
Kurek, Stanley J. ;
Schreiber, Martin A. ;
Shapiro, Mark L. ;
Vogel, Todd R. .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2010, 68 (02) :471-477
[2]   Best practice guidelines for blunt cerebrovascular injury (BCVI) [J].
Brommeland, Tor ;
Helseth, Eirik ;
Aarhus, Mads ;
Moen, Kent Goran ;
Dyrskog, Stig ;
Bergholt, Bo ;
Olivecrona, Zandra ;
Jeppesen, Elisabeth .
SCANDINAVIAN JOURNAL OF TRAUMA RESUSCITATION & EMERGENCY MEDICINE, 2018, 26
[3]   Time to stroke: A Western Trauma Association multicenter study of blunt cerebrovascular injuries [J].
Burlew, Clay Cothren ;
Sumislawski, Joshua J. ;
Behnfield, Charles D. ;
McNutt, Michelle K. ;
McCarthy, James ;
Sharpe, John P. ;
Croce, Martin A. ;
Bala, Miklosh ;
Kashuk, Jeffry ;
Spalding, M. Chance ;
Beery, Paul R. ;
John, Scott ;
Hunt, Darren J. ;
Harmon, Laura ;
Stein, Deborah M. ;
Callcut, Rachael ;
Wybourn, Chris ;
Sperry, Jason ;
Anto, Vincent ;
Dunn, Julie ;
Veith, Jacob P. ;
Brown, Carlos V. R. ;
Celii, Amanda ;
Zander, Tyler L. ;
Coimbra, Raul ;
Berndtson, Allison E. ;
Moss, Tovah Z. ;
Malhotra, Ajai K. ;
Hazelton, Joshua P. ;
Linden, Kimberly ;
West, Michaela ;
Alam, Hasan B. ;
Williams, Aaron M. ;
Kim, Jennie ;
Inaba, Kenji ;
Moulton, Steve ;
Choi, Young Mee ;
Warren, Harry L. ;
Collier, Bryan ;
Ball, Chad G. ;
Savage, Stephanie ;
Hartwell, Jennifer L. ;
Cullinane, Daniel C. ;
Zielinski, Martin D. ;
Ray-Zack, Mohamed D. ;
Morse, Bryan C. ;
Rhee, Peter ;
Rutherford, Edmund J. ;
Udekwu, Pascal ;
Reynolds, Cassandra .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2018, 85 (05) :858-866
[4]   Blunt cerebrovascular injuries in trauma [J].
Eastham, Shannon .
INTERNATIONAL JOURNAL OF SURGERY, 2016, 33 :251-253
[5]   Cerebrovascular Dissections: A Review. Part II: Blunt Cerebrovascular Injury [J].
Fusco, Matthew R. ;
Harrigan, Mark R. .
NEUROSURGERY, 2011, 68 (02) :517-530
[6]   y Ischemic Stroke due to Blunt Traumatic Cerebrovascular Injury [J].
Harrigan, Mark R. .
STROKE, 2020, 51 (01) :353-360
[7]   Diagnostic accuracy of computed tomography angiography (CTA) for diagnosing blunt cerebrovascular injury in trauma patients: a systematic review and meta-analysis [J].
Kik, Charlotte C. ;
Slooff, Willem-Bart M. ;
Moayeri, Nizar ;
de Jong, Pim A. ;
Muijs, Sander P. J. ;
Oner, F. Cumhur .
EUROPEAN RADIOLOGY, 2022, 32 (04) :2727-2738
[8]   Evaluation and management of blunt cerebrovascular injury: A practice management guideline from the Eastern Association for the Surgery of Trauma [J].
Kim, Dennis Y. ;
Biffl, Walter ;
Bokhari, Faran ;
Brakenridge, Scott ;
Chao, Edward ;
Claridge, Jeffrey A. ;
Fraser, Douglas ;
Jawa, Randeep ;
Kasotakis, George ;
Kerwin, Andy ;
Khan, Uzer ;
Kurek, Stan ;
Plurad, David ;
Robinson, Bryce R. H. ;
Stassen, Nicole ;
Tesoriero, Ron ;
Yorkgitis, Brian ;
Como, John J. .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2020, 88 (06) :875-887
[9]   Antithrombotic choice in blunt cerebrovascular injuries: Experience at a tertiary trauma center, systematic review, and meta-analysis [J].
Ku, Jerry C. ;
Priola, Stefano M. ;
Mathieu, Francois ;
Taslimi, Shervin ;
Pasarikovski, Christopher R. ;
Zeiler, Frederick A. ;
Machnowska, Matylda ;
Nathens, Avery ;
Yang, Victor X. D. ;
da Costa, Leodante .
JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2021, 91 (01) :E1-E12
[10]   Blunt Cerebrovascular Injuries: Advances in Screening, Imaging, and Management Trends [J].
Nagpal, P. ;
Policeni, B. A. ;
Bathla, G. ;
Khandelwal, A. ;
Derdeyn, C. ;
Skeete, D. .
AMERICAN JOURNAL OF NEURORADIOLOGY, 2018, 39 (03) :406-414