Shafafy Roozbeh, Suresh Sukrit, Afolayan John O, Vaccaro Alexander R, Panchmatia Jaykar R
Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.
Kings College London School of Medicine, London, UK.
J Spine Surg. 2017 Jun;3(2):217-225. doi: 10.21037/jss.2017.05.10.
Blunt cerebrovascular injury (BCVI) encompasses two distinct clinical entities: traumatic carotid artery injury (TCAI) and traumatic vertebral artery injury (TVAI). The latter is the focus of our review. These are potentially devastating injuries which pose a diagnostic challenge in the acute trauma setting. There is still debate regarding the optimal screening criteria, diagnostic imaging modality and treatment methods. In 2012 the American College of Surgeons proposed criteria for investigating patients with suspected TVAI and subsequent treatment methods, caveated with the statement that evidence is limited and still evolving. Here we review the historical evidence and recent literature relating to these recommendations.
钝性脑血管损伤（BCVI）包括两种不同的临床实体：创伤性颈动脉损伤（TCAI）和创伤性椎动脉损伤（TVAI）。后者是我们综述的重点。这些损伤具有潜在的毁灭性，在急性创伤环境中构成诊断挑战。关于最佳筛查标准、诊断成像方式和治疗方法仍存在争议。2012年，美国外科医师学会提出了对疑似TVAI患者进行调查的标准及后续治疗方法，但声明证据有限且仍在不断发展。在此，我们回顾与这些建议相关的历史证据和近期文献。
