Table 2 Modified Denver screening criteria for blunt cerebrovascular injuries [2]
Signs of blunt cerebrovasuclar injury | Risk factors for blunt cerebrovascular injury |
|---|---|
Arterial bleeding | High-energy trauma mechanism combined with: Le Fort II/III fracture Cervical spine fractures (subluxations, CI-CIII fractures, fractures extending to the transverse foramen) Basilar skull fracture with carotid canal involvement Diffuse axonal injury with GCS ≤6 Near hanging with anoxic brain injury Combination of traumatic brain injury and thorax trauma |
Cervical hematoma | |
Focal neurological deficiency | |
Neurological findings not matching with CT findings | |
Ischemic insult seen on a secondary CT scan | |
Cervical heart murmur |