Neurovascular trauma: Diagnosis and therapy

Kansagra, Akash P.; Balasetti, Vamshi; Huang, Michael C.

doi:10.1016/b978-0-444-64034-5.00012-2

Cited by 4 publications

(37 citation statements)

References 155 publications

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“…Because BCVI can occur distant from the site of visible trauma, involve multiple vessels, and be asymptomatic or masked by other injuries at presentation,17 BCVI is clinically under-recognized. In contrast, PCVI is more often grossly apparent or clinically suspected 3. Imaging for diagnosis and characterization of BCVI and PCVI must balance the need for accurate diagnosis with the potential risks of delayed intervention.…”

Section: Diagnosismentioning

confidence: 99%

“…Imaging for diagnosis and characterization of BCVI and PCVI must balance the need for accurate diagnosis with the potential risks of delayed intervention. Catheter angiography, CT angiography (CTA), and magnetic resonance angiography (MRA) may each play a role 3 18–20…”

Section: Diagnosismentioning

confidence: 99%

“…Catheter angiography provides high-resolution, dynamic imaging and is the gold standard for detection and characterization of both BCVI and PCVI 21. However, catheter angiography has a complication rate of approximately 2.9% in patients experiencing cranial trauma 3 22. Additionally, catheter angiography is more labor-intensive and time-intensive than CTA and MRA, and is less widely available.…”

Section: Diagnosismentioning

confidence: 99%

“…The proliferation of modern multidetector row CT scanners has improved the sensitivity of CTA to subtle BCVI and PCVI,25 and the availability of CTA has benefited from its widespread use in ischemic stroke protocols 26. Although less accurate than catheter angiography for the detection of cerebrovascular injuries, CTA performed on modern scanners demonstrates high sensitivity and specificity for both BCVI and PCVI 3 27. In a study of patients with BCVI, 4.5% of patients with positive CTA findings later experienced ischemic stroke, while only 0.5% of those with negative CTA findings experienced ischemic stroke 9.…”

Section: Diagnosismentioning

confidence: 99%

“…Patients experiencing craniocervical trauma are at risk of devastating injuries, including traumatic cerebrovascular injury and traumatic brain injury 1 2. Traumatic cerebrovascular injury occurs in 3–20% of patients following craniocervical trauma and is a frequent cause of morbidity and mortality 1 3–5. Timely diagnosis and management can prevent devastating neurological complications 5.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Neurointerventional management of cerebrovascular trauma

Lauzier

Chatterjee

Kansagra

2021

J NeuroIntervent Surg

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Traumatic cerebrovascular injuries following blunt or penetrating trauma are common and carry a high risk of permanent disability or death. Proper screening, diagnosis, and treatment of these lesions is essential to improve patient outcomes. Advances in imaging continue to improve the accuracy of non-invasive diagnosis of these injuries while new clinical data provide better evidence for optimal management, whether medical or invasive. Here, we review screening, diagnosis, and treatment of traumatic cerebrovascular injuries.

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Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Neurointerventional management of cerebrovascular trauma

Lauzier

Chatterjee

Kansagra

2021

J NeuroIntervent Surg

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Posttraumatic Headache

et al. 2022

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Post-traumatic headache (PTH) is the most common secondary headache disorder, accounting for approximately 4% of all headache disorders. It is the most common symptom following concussion (mild traumatic brain injury) and can be debilitating for many who have persistent symptoms. With a recent increase in public awareness regarding TBI, there has been a corresponding increase PTH research. The pathophysiology of PTH remains poorly understood and the underlying mechanisms are likely multifactorial. Diagnosis of PTH is dependent on a temporal relationship to a head injury. PTH often resembles common primary headache phenotypes. Treatment of PTH utilizes known treatments for these other headache phenotypes, as there is no currently approved treatments specifically for PTH. Moving forward, further studies are needed to better define and validate the definition of PTH, understand the underlying pathophysiology, and find more specific treatments.

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