Pediatric blunt vertebral artery injury: case report and treatment plan

Cervical Arterial Injury After Blunt Trauma in Children

“…Although this clinical entity has been more extensively researched in the adult population, there is a paucity of literature on its manifestations in pediatric patients, largely limited to case reports. [8][9][10][11][12][13] In a recent review, Brunworth et al 8 presented a clinical algorithm for the diagnosis and treatment of pediatric CVI based on their experience with CVI in an adult trauma population. The authors suggested CTA as an initial study, with traditional DSA if CTA was negative and clinical suspicion of CVI was high.…”

“…[8][9][10][11][12][13] The purpose of this study was (1) to determine which cervical spine injury patterns are most commonly associated with CVI in children and (2) to determine the role of noninvasive imaging (CTA/MRA) in screening for CVI in this population. We hypothesized that the injury pattern in children is similar to that in adults.…”