Blunt cerebrovascular injury in children

被引:9
作者
Fenton, Stephen J. [1 ]
Bollo, Robert J. [2 ]
机构
[1] Univ Utah, Sch Med, Dept Surg, Div Pediat Surg, 100 North Mario Capecchi Dr,Suite 3800, Salt Lake City, UT 84113 USA
[2] Univ Utah, Sch Med, Dept Neurosurg, Salt Lake City, UT USA
关键词
Pediatric; Blunt cardiovascular injury; Trauma; Children; CERVICAL ARTERY DISSECTION; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; RADIATION-EXPOSURE; RETROSPECTIVE COHORT; DIAGNOSTIC-ACCURACY; VASCULAR INJURIES; TRAUMA PATIENTS; MR-ANGIOGRAPHY; CAROTID INJURY; CT ANGIOGRAPHY;
D O I
10.1053/j.sempedsurg.2017.01.003
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically reduces the risk of a cerebrovascular accident. The difficulty lies in determining which child should be screened for such an injury. Several institutions have come up with criteria for screening. In this article, we review the nuances of the cerebrovascular system and its resulting injury. We present recent literature on the subject in an attempt to add clarity to this challenging situation. (C) 2017 Elsevier Inc. All rights reserved.
引用
收藏
页码:2 / 7
页数:6
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