caa a22 4500 445831642 CHVBK 20180317145317.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00586-011-1862-y doi (NATIONALLICENCE)springer-10.1007/s00586-011-1862-y Blunt traumatic vertebral artery injury: a clinical review [Elektronische Daten] [R. deSouza, M. Crocker, N. Haliasos, A. Rennie, A. Saxena] Blunt traumatic vertebral injury (TVAI) is frequently associated with head and neck injury and is being detected with increasing frequency due to improved imaging of the trauma patient. In a few cases, it can lead to potentially fatal posterior circulation ischaemia There is debate in the literature regarding whether TVAI should be actively screened for and, if so, how. Management of TVAI may be conservative, medical (antiplatelet agents or anticoagulation), endovascular or open surgery. We review the literature concerning the mechanisms and presentation of TVAI following blunt injury and the current screening recommendations. Management strategies proposed are based on the radiological grade and clinical severity of TVAI, where high-grade symptomatic injuries and high-grade injuries in patients where anticoagulation is contraindicated are treated endovascularly and asymptomatic or low-grade injuries are managed with anticoagulation where it is not contraindicated. Follow-up is via CT angiography to assess for resolution of the injury. Springer-Verlag, 2011 Traumatic nationallicence Vertebral nationallicence Artery nationallicence Management nationallicence deSouza R. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Crocker M. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Haliasos N. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut Rennie A. Department of Neuroradiology, University Hospital Coventry and Warwickshire, Clifford Bridge Road, CV2 2DX, Coventry, UK aut Saxena A. Department of Neurosurgery, University Hospital Coventry and Warwickshire, Clifford Bridge Road, CV2 2DX, Coventry, UK aut European Spine Journal Springer-Verlag 20/9(2011-09-01), 1405-1416 0940-6719 20:9<1405 2011 20 586 https://doi.org/10.1007/s00586-011-1862-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1862-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- deSouza R. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Crocker M. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Haliasos N. Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, WC1N 3BG, London, UK aut NATIONALLICENCE 700 1- Rennie A. Department of Neuroradiology, University Hospital Coventry and Warwickshire, Clifford Bridge Road, CV2 2DX, Coventry, UK aut NATIONALLICENCE 700 1- Saxena A. Department of Neurosurgery, University Hospital Coventry and Warwickshire, Clifford Bridge Road, CV2 2DX, Coventry, UK aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/9(2011-09-01), 1405-1416 0940-6719 20:9<1405 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer