Template:Denver Screening Criteria: Difference between revisions
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===[[Denver screening criteria]] for blunt cerebrovascular injury=== | |||
''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms'' | ''The [[Denver Screening Criteria]] are divided into risk factors and signs and symptoms'' | ||
===Signs and Symptoms=== | ====Signs and Symptoms==== | ||
*Arterial hemorrhage | |||
*Arterial | *Cervical bruit | ||
*Cervical | *Expanding neck hematoma | ||
* | *Focal neurologic deficit | ||
* | *Neuro exam inconsistent with head CT | ||
*Neuro exam inconsistent with | *Stroke on head CT | ||
===Risk Factors=== | ====Risk Factors==== | ||
*[[Le Fort fractures|Midface Fractures]] | *[[Le Fort fractures|Midface Fractures]] (Le Fort II or III) | ||
*Basilar Skull Fracture with carotid canal involvement | |||
*Basilar Skull Fracture | *Diffuse axonal injury with GCS<6 | ||
*GCS< | *Cervical spine fracture | ||
*Hanging with | *Hanging with anoxic brain injury | ||
*Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status | *Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status | ||
**Isolated seatbelt sign without other neurologic symptoms has not been identified as a risk factor<ref>DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445</ref><ref>Rozycki GS, Tremblay L, Feliciano DV, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52:618–623; discussion 623–624</ref> | **Isolated seatbelt sign without other neurologic symptoms has not been identified as a risk factor<ref>DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445</ref><ref>Rozycki GS, Tremblay L, Feliciano DV, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52:618–623; discussion 623–624</ref><ref>Sherbaf FG, Chen B, Pomeranz T, et al. Value of emergent neurovascular imaging for “Seat belt injury”: A multi-institutional study. American Journal of Neuroradiology. 2021;42(4):743-748</ref> | ||
Latest revision as of 16:28, 21 December 2021
Denver screening criteria for blunt cerebrovascular injury
The Denver Screening Criteria are divided into risk factors and signs and symptoms
Signs and Symptoms
- Arterial hemorrhage
- Cervical bruit
- Expanding neck hematoma
- Focal neurologic deficit
- Neuro exam inconsistent with head CT
- Stroke on head CT
Risk Factors
- Midface Fractures (Le Fort II or III)
- Basilar Skull Fracture with carotid canal involvement
- Diffuse axonal injury with GCS<6
- Cervical spine fracture
- Hanging with anoxic brain injury
- Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status
- ↑ DiPerna CA, Rowe VL, Terramani TT, et al. Clinical importance of the “seat belt sign” in blunt trauma to the neck. Am Surg. 2002;68:441–445
- ↑ Rozycki GS, Tremblay L, Feliciano DV, et al. A prospective study for the detection of vascular injury in adult and pediatric patients with cervicothoracic seat belt signs. J Trauma. 2002;52:618–623; discussion 623–624
- ↑ Sherbaf FG, Chen B, Pomeranz T, et al. Value of emergent neurovascular imaging for “Seat belt injury”: A multi-institutional study. American Journal of Neuroradiology. 2021;42(4):743-748