Congenital spine deformities: a new screening indication for blunt cerebrovascular injuries after cervical trauma?
Blunt cerebrovascular injuries (BCVI) carry significant morbidity if not diagnosed and treated early. A high index of clinical suspicion is needed to recognize the injury patterns associated with this condition and to order the requisite imaging studies needed to diagnose it accurately. We report of BCVI associated with a congenital cervical spine malformation after blunt trauma. We recommend inclusion of cervical spine malformations to the current Eastern Association for the Surgery of Trauma screening criteria for BCVI and explain our rationale for the same.
Division of Pediatric Surgery, Department of Surgery, New York Medical College, Valhalla, NY 10595, USA.
Christine
C
Capone
Sathyaprasad
S
Burjonrappa
D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D020215:Carotid Artery, Internal, Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D002533:Cerebral Angiography; D001270:Cervical Atlas / Q000002:abnormalities / Q000000981:diagnostic imaging; D002574:Cervical Vertebrae / Q000002:abnormalities* / Q000293:injuries / Q000601:surgery; D002648:Child; D003131:Combined Modality Therapy; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging; D019299:Decompression, Surgical; D042241:Early Diagnosis; D020233:Gait Disorders, Neurologic / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D019838:Neck Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D010292:Paresthesia / Q000209:etiology; D013123:Spinal Fusion; D013550:Swimming / Q000293:injuries; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery
D000925:Anticoagulants; D006493:Heparin; D001241:Aspirin