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

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Summary

INTRODUCTION

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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