Incidence of blunt craniocervical @entity1317 : use of whole-body computed tomography XXXX imaging with adapted computed tomography angiography.

@entity1 @entity135 @entity4066 @entity932 @entity174 @entity1230 @entity1317 @entity130
BACKGROUND: The incidence of traumatic craniocervical @entity4066 varies in published @entity130 series. OBJECTIVE: To determine the frequency of traumatic craniocervical @entity1317 in @entity1230 @entity1 by using standardized whole-body @entity130 computed tomography with adapted computed tomography angiography of the craniocervical vessels. METHODS: A total of 718 consecutive @entity1 requiring whole-body @entity130 computed tomography (16-row multislice) because of the mechanism of their injury patterns and an Injury Severity Scale score greater than 16 were analyzed prospectively. After a cranial scan, computed tomography angiography of the craniocervical vessels with 40 mL of iodinated contrast agent was performed using bolus tracking. RESULTS: The overall incidence of blunt carotid and @entity130 (BCVIs) in the screened population was 1.7%. BCVIs were observed in 27.3% of @entity1 with detected isolated cervical spine injuries and in 3.9% of @entity1 with isolated @entity174 with or without @entity932 , whereas 5.3% of @entity1 with combined cervical and cranial lesions were associated with BCVIs. In addition, 0.4% of BCVIs occurred in @entity1 without evidence of @entity135 . CONCLUSION: Whole-body @entity130 computed tomography with an adapted scanning protocol for the craniocervical vessels is a fast, safe, and feasible method for detecting @entity1317 . It allows prompt further treatment if necessary. Computed tomography angiography could be a part of a broad screening protocol for craniocervical vessels in documented injuries of the head and neck and in @entity130 mechanisms influencing the craniocervical region as well.
