Cervical XXXX after @entity130 .

@entity1 @entity4066 @entity1269 @entity16 @entity51 @entity292 @entity1317 @entity715 @entity204 @entity2849 @entity130
@entity130 accounts for 3% to 10% of cervical @entity130 . @entity204 and severe @entity16 have been reported in more than 80% of blunt @entity130 . In our recent experience, 10 @entity1 sustained 18 blunt cervical @entity1317 : two internal carotid artery (ICA) dissections, three ICA transections with @entity2849 , five ICA @entity715 , two @entity4066 , one vertebral artery transection with @entity2849 , one @entity715 , one minimal @entity1317 , and three caroticocavernous @entity292 . A delay of more than 12 hours in making the diagnosis occurred in seven of the 10 @entity1 . The mental status was initially normal in seven @entity1 . The subsequent development of focal neurologic findings incongruent with CT scanning of the head prompted four-vessel angiography. Treatment was individualized and included supportive management, intravenous heparin, ligation, extracranial-intracranial bypass, and radiologic embolization. We have developed an angiographic classification that may aid management. Early angiography in @entity1 with neurologic findings incongruent with head CT scan or in whom a normal sensorium and @entity1269 are present may permit improved outcomes. We advocate direct operative repair for accessible lesions of recent onset. For surgically inaccessible lesions, those with delayed presentation or in some cases with a fixed @entity51 , intravenous heparin can be started and follow-up angiography, head CT scanning, and the @entity1 's clinical status determine further therapy.
