Skip to main content

Table 3 The expanded Denver screening criteria for BCVI. CT angiography is indicated if one or more of the criteria are present

From: Best practice guidelines for blunt cerebrovascular injury (BCVI)

Signs/symptoms of BCVI
 Arterial hemorrhage from neck/nose/mouth
 Cervical bruit in patients < 50 years
 Expanding cervical hematoma
 Focal neurological deficit
 Neurological exam incongruous with head CT findings
 Stroke on secondary CT scan
Risk factors for BVCI
(High-energy transfer mechanism with):
 Le Fort II or III
 Mandible fracture
 Complex skull fracture/basilar skull fracture/occipital condyle fracture
 Severe traumatic brain injury (TBI) with GCS < 6
 Cervical spine fracture, subluxation or ligamentous injury at any level
 Near hanging with anoxic brain injury
 Seat belt abrasion with significant swelling, pain or altered mental status
 TBI with thoracic injury
 Scalp degloving
 Thoracic vascular injury
 Blunt cardiac rupture
 Upper rib fracture
  1. From Geddes et al.: Expanded screening criteria for blunt cerebrovascular injury: A bigger impact than anticipated (Geddes et al., 2016)