Role of imaging in penetrating vascular injuries of the craniocervical region

Abstract

Penetrating vascular injury has become the topic of interest with increased gun violence in the United States. The radiologist plays a crucial role in establishing and systemizing the signs of vascular injury such as intimal flap, dissection, pseudoaneurysm, rupture, and arteriovenous fistula. Various imaging techniques such as ultrasound Doppler, computed tomographic angiography (CTA), magnetic resonance angiography, and conventional angiography are being employed based on clinical recommendations. Of all the techniques, CTA has been shown to embrace a promising role in identifying vascular injuries with superior sensitivity, specificity, and accuracy. An acquaintance of the imaging features has been shown to improve the approach to trauma patients in clinical settings. This article details the imaging modalities and the features of the head-and-neck penetrating vascular injury.

Penetrating head trauma resulting from vigilante street justice

“…In our case, neurovascular imaging was not employed due to the financial constraints of the uninsured patient; however, the pattern of injury from a plain CT scan done before arrival did not prompt the suspicion of major vessel injury. [ 4 ]…”

“…In our case, neurovascular imaging was not employed due to the financial constraints of the uninsured patient; however, the pattern of injury from a plain CT scan done before arrival did not prompt the suspicion of major vessel injury. [4] Surgical therapy generally aims to remove the impacted item and any associated necrotic material from the injury site, evacuate the hematoma, and reconstruct the dura watertight to prevent CSF leaking.…”

Particular Surgical Technique for Transorbital—Penetrating Craniocerebral Injury Inflicted by a Screwdriver: Technical Case Report

“… 8 14) Injury to the dural venous sinus can also occur and increases mortality by 20%–41%. 12) In addition, cerebrospinal fluid (CSF) leaks are common and surgical repair is recommended if the defect does not close spontaneously. 11 16) Impaired brain function can occur because of direct injury to the penetrating brain area or as an indirect result of vasospasm or multi-trauma injury from other locations.…”