{"id":4949,"date":"2010-12-27T00:21:14","date_gmt":"2010-12-27T05:21:14","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=4949"},"modified":"2013-03-16T12:40:12","modified_gmt":"2013-03-16T16:40:12","slug":"denver-screening-criteria-blunt-cerebrovascular-injury","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2010\/12\/denver-screening-criteria-blunt-cerebrovascular-injury\/","title":{"rendered":"Denver Screening Criteria for Blunt Cerebrovascular Injury"},"content":{"rendered":"<p>The Denver screening criteria has been developed to aid in the diagnosis and treatment of blunt cerebrovascular injury (i.e., damage to the carotid and\/or <a href=\"http:\/\/en.wikipedia.org\/wiki\/Vertebral_artery\">vertebral arteries<\/a>) which is an increasingly recognized entity in trauma.<\/p>\n<h4>The Denver screening criteria are:<\/h4>\n<p>Focal neuorlogical deficit<br \/>\nArterial hemorrhage<br \/>\nCervical bruit in a patient less than 50 years of age<br \/>\nExpanding neck hematoma<br \/>\nNeurological exam inconsistent with head CT scan<br \/>\nCerebrovascular accident on follow-up head CT not seen on initial head CT<\/p>\n<h4>The Denver screening criteria lists the following risk factors for blunt cerebrovascular injury (BCVI)<\/h4>\n<p>Presence of Leforte II or III fractures<br \/>\nCervical spine fractures involving subluxation<br \/>\nCervical spine fractures involving C1-C3<br \/>\nCervical spine fractures extending into the transverse foramina<br \/>\nBasilar skull fractures with carotid canal involvement<br \/>\nDiffuse axonal injury with a Glasgow Coma Scale of 6 or less<br \/>\nNear hanging injuries with anoxic brain injury<\/p>\n<div id=\"attachment_8245\" style=\"width: 237px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/insidesurgery.com\/2010\/12\/denver-screening-criteria-blunt-cerebrovascular-injury\/lefort-2\/\" rel=\"attachment wp-att-8245\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8245\" class=\" wp-image-8245   \" alt=\"Denver screening criteria Lefort 2 fracture\" src=\"http:\/\/insidesurgery.com\/wp-content\/uploads\/2010\/12\/lefort-2.png\" width=\"227\" height=\"302\" \/><\/a><p id=\"caption-attachment-8245\" class=\"wp-caption-text\">Lefort 2 fracture line seen in red<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Denver screening criteria has been developed to aid in the diagnosis and treatment of blunt cerebrovascular injury (i.e., damage to the carotid and\/or vertebral arteries) which is an increasingly recognized entity in trauma. The Denver screening criteria are: Focal neuorlogical deficit Arterial hemorrhage Cervical bruit in a patient less than 50 years of age [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[5103,13,28],"tags":[3750,3746,3747,3745,3748,3749],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Denver Screening Criteria for Blunt Cerebrovascular Injury  - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2010\/12\/denver-screening-criteria-blunt-cerebrovascular-injury\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Denver Screening Criteria for Blunt Cerebrovascular Injury  - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"The Denver screening criteria has been developed to aid in the diagnosis and treatment of blunt cerebrovascular injury (i.e., damage to the carotid and\/or vertebral arteries) which is an increasingly recognized entity in trauma. 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