Table 10.

Denver Criteria for blunt cerebrovascular injury.

Denver Criteria for Blunt Cerebrovascular Injury
Signs and Symptoms	Risk Factors
Arterial hemorrhage	Midface Fractures (Le Fort II or III)
Cervical bruit	Basilar Skull Fracture with carotid canal involvement
Expanding neck hematoma	Diffuse axonal injury with GCS <6
Focal neurologic deficit	Cervical spine fracture
Neurological exam findings inconsistent with CT findings	Hanging with anoxic brain injury
Stroke on neuroimaging	Seat belt abrasion or other soft tissue injury of the anterior neck resulting in significant swelling or altered mental status
Interpretation: If a trauma patient meets any of these criteria, the possibility of blunt cerebrovascular injury should be evaluated with CT Angiography.