Denver screening criteria for blunt cerebrovascular injury (Cothren et al.) [32] |
Any cervical spine fracture |
Unexplained neurological deficit incongruous with imaging |
Basilar cranial fracture into carotid canal |
Le Fort II or III fracture |
Cervical haematoma |
Horner syndrome |
Cervical bruit |
Ischaemic stroke |
Head injury with Glasgow Coma Scale score<6 |
Hanging with anoxic injury |
Denver radiological grading scale of blunt cerebrovascular injury (Cothren et al.) [32] |
Grade I |
Irregularity of vessel wall or dissection/intramural haematoma with <25% stenosis |
Grade II |
Intramural thrombus or raised intimal flap or dissection/intramural haematoma with >25% stenosis |
Grade III |
Pseudoaneurysm |
Grade IV |
Vessel occlusion |
Grade V |
Vessel transection |