Head and neck neurovascular trauma: Clinical and angiographic correlation.
A retrospective review of all angiograms done for craniocervical trauma, over an eight-year period at Groote Schuur Hospital identified 61 patients out of 823 angiographically studied who had extradural vascular injury and required endovascular treatment. Multiple lesions were identified in nine (14,8%) patients and associated injuries were found in 23 patients (37%). The mechanism of injury was blunt in nine (14.8%) patients and penetrating in 52 (85.2%). There was a statistically significant correlation between the presenting clinical feature and the underlying angiographic lesion. Patients with active bleeding were more likely to have a vessel laceration, an expanding hematoma was associated with false aneurysm and a pulsatile mass with arteriovenous fistula. Endovascular treatment with emphasis on vessel occlusion rather than preservation was successful in all cases except one which required surgical vessel ligation.
FCS Neurosurgery, University of Cape Town, Cape Town, South Africa.
Peter Kato
PK
Ssenyonga
FCS Neurosurgery, University of Cape Town, Cape Town, South Africa.
David
D
Le Feuvre
FCS Neurosurgery, University of Cape Town, Cape Town, South Africa allan.taylor@uct.ac.za.
Allan
A
Taylor
D000293:Adolescent; D000328:Adult; D000792:Angiography; D001808:Blood Vessels / Q000000981:diagnostic imaging* / Q000293:injuries*; D001930:Brain Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019838:Neck Injuries / Q000175:diagnosis* / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D055815:Young Adult
Head and neck; arteriovenous fistula; false aneurysm; neurovascular; trauma