Risk for Cerebrovascular Injury after Blunt Trauma

There are two criteria used to screen patients with blunt trauma of cerebrovascular injury:  the Denver and Memphis criteria
Denver Criteria

1. LeForte II or III fracture pattern

2. Cervical spine fracture or subluxation

3. Basilar skull fracture with involvement of the carotid canal

4. DAI with GCS <6

5.  Near hanging with anoxic brain injury
Memphis Criteria:

1. Cervical spine fracture

2.  LeForte II or III facial fracture

3.  Basilar skull fracture with involvement of the carotid canal

4.  Horner’s syndrome

5.  Neurologic deficit not explained by imaging studies

6.  Neck soft-tissue injury (seatbelt sign, hematoma, or hanging)

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