Traumatic Changes in the Internal Carotid Artery Associated with Basal Skull Fractures

Janon, Edward A.

doi:10.1148/96.1.55

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2007

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Cited by 3 publications

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“…Fractures of the skull base can be associated with neurovascular injury, 1,16,28,29,32,36 but only a few reports have analyzed this association in detail. In a series of five patients with fractures of the sella, Young and colleagues 36 found (16) 0 (0) 0.167 cribriform plate (10) 0 (0) 0.300 floor of middle fossa (9) 0 (0) 0.320 one case of associated neurovascular injury. Unger and coworkers 29 found two instances of pseudoaneurysm formation and one case of laceration of the ICA in a retrospective chart review of 66 cases of sphenoid bone fractures.…”

Section: Discussionmentioning

confidence: 99%

Incidence and pattern of direct blunt neurovascular injury associated with trauma to the skull base

Feiz-Erfan

Horn

Theodore

et al. 2007

JNS

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The risk of associated blunt neurovascular injury appears to be significant in Level 1 trauma patients in whom a diagnosis of skull base fracture has been made using CT. The incidence of neurovascular trauma is particularly high in patients with clival fractures. The authors recommend neurovascular imaging for Level 1 trauma patients with a high-risk fracture pattern of the central skull base to rule out cerebrovascular injuries.

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