Abstract
Blunt cerebrovascular incidents (BCVI) is an uncommon occurrence amounting only up to 1% in most trauma registries. Even with a screening protocol, the documented incidence is just up to 2.7%. Despite a rare occurrence, the risk of complication related to BCVI can be devastating especially stroke. An untreated BCVI leads to 10-40% risk of developing stroke which can be fatal. The overall mortality was 59%, and 80% of that death is attributed to BCVI. We report a case who presented with traumatic neck injury subsequently diagnosed with BCVI. The presentation, diagnosis and therapy are discussed.
Highlights
Blunt cerebrovascular incident (BCVI) is an uncommon condition associated with polytrauma patients
The diagnosis much depends on suspicious trauma mechanism and clinical judgement
A 23-year-old man had an alleged motor vehicle accident. He presented with a right-sided neck hematoma
Summary
Blunt cerebrovascular incident (BCVI) is an uncommon condition associated with polytrauma patients. The consequence of a missed or neglected disease may lead to the incidence of an infarct [1]. The reported case remains scarce within the literature. This lack of published cases causes difficulty in the approach and management of this uncommon condition. Most centres use a standard diagnosis classification. The compliance and treatment differ due to the local resources and availability of experts. Screening for BCVI in all trauma patient is shown to be not cost-effective and impractical. The diagnosis much depends on suspicious trauma mechanism and clinical judgement
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