Fenton Stephen J, Bollo Robert J
Division of Pediatric Surgery, Department of Surgery, University of Utah School of Medicine, 100 North Mario Capecchi Dr, Suite 3800, Salt Lake City, Utah 84113.
Department of Neurosurgery, University of Utah School of Medicine, Salt Lake City, Utah.
Semin Pediatr Surg. 2017 Feb;26(1):2-7. doi: 10.1053/j.sempedsurg.2017.01.003. Epub 2017 Jan 5.
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.
儿童钝性脑血管损伤并不常见，若漏诊且未治疗，可能会导致严重的长期神经后果。通过头颈部计算机断层血管造影可轻松做出诊断。若确诊，抗血栓治疗可显著降低脑血管意外的风险。难点在于确定哪些儿童应接受此类损伤的筛查。几家机构已经提出了筛查标准。在本文中，我们回顾了脑血管系统的细微差别及其所致损伤。我们展示了关于该主题的最新文献，试图为这一具有挑战性的情况增添清晰度。
