Natural history and nonoperative management of penetrating cerebrovascular injury

Cerebrovascular injuries from trauma confer an elevated risk of ischemic stroke, with associated morbidity and mortality. These injuries have been studied extensively in the context of blunt trauma such that screening has become standard practice (1, 2), and there are growing data on the natural history of these injuries (3-7). Penetrating cerebrovascular injuries (PCVI) are less common, and there are limited data to guide optimal care. Historically, these have been managed operatively in the setting of penetrating neck wounds, however, there are patients who sustain penetrating trauma but do not have hard signs of injury mandating emergent operation.

Source: Injury - November 1, 2022 Category: Orthopaedics Authors: Cordelie E. Witt, Joshua J. Sumislawski, Clay Cothren Burlew Source Type: research