Localized Autonomic Abnormality: Another Clinical Marker of Blunt Cervical Vascular Injury?

Author(s):  
John F. Bilello ◽  
James W. Davis ◽  
Krista L. Kaups ◽  
Steven N. Parks
Neurotrauma ◽  
2019 ◽  
pp. 121-128
Author(s):  
Aaron R. Plitt ◽  
Benjamin Kafka ◽  
Kim Rickert

Cervical cerebrovascular injury occurs in approximately 1% of patients presenting with blunt trauma, but it carries a high morbidity (80%) and mortality (40%) when left undiagnosed. Cervical spine fractures, especially between C1 and C6, are at higher risk for injury to the cervical cerebrovasculature. These injuries are graded I–V in order of ascending severity. The diagnosis is established using a vascular imaging study, predominantly CT angiography. Once diagnosed, the treatment is predominantly medical with antiplatelet or anticoagulation therapy, and its presence should not preclude reduction of a fractured or subluxed vertebrae. The medical therapy should be continued for 3–6 months with regular follow-up vascular imaging to assess for progression of the injury. Overall, blunt cervical vascular injury should be suspected in patients with cervical spine fractures or trauma to the head and neck region, and it should be treated medically.


2004 ◽  
pp. 241-250
Author(s):  
Walter L. Biffl ◽  
Ernest E. Moore ◽  
Jon M. Burch

2009 ◽  
Vol 67 (3) ◽  
pp. 551-556 ◽  
Author(s):  
Alexander L. Eastman ◽  
Vijay Muraliraj ◽  
Jason L. Sperry ◽  
Joseph P. Minei

2018 ◽  
Vol 19 (6) ◽  
pp. 961-969 ◽  
Author(s):  
Irma Ugalde ◽  
Mary Claiborne ◽  
Marylou Cardenas-Turanzas ◽  
Manish Shah ◽  
James Langabeer ◽  
...  

2019 ◽  
Vol 62 (12) ◽  
pp. 4450-4463
Author(s):  
Rikke Vang Christensen

Purpose The aim of the study was to explore the potential of performance on a Danish sentence repetition (SR) task—including specific morphological and syntactic properties—to identify difficulties in children with developmental language disorder (DLD) relative to typically developing (TD) children. Furthermore, the potential of the task as a clinical marker for Danish DLD was explored. Method SR performance of children with DLD aged 5;10–14;1 (years;months; n = 27) and TD children aged 5;3–13;4 ( n = 87) was investigated. Results Compared to TD same-age peers, children with DLD were less likely to repeat the sentences accurately but more likely to make ungrammatical errors with respect to verb inflection and use of determiners and personal pronouns. Younger children with DLD also produced more word order errors that their TD peers. Furthermore, older children with DLD performed less accurately than younger TD peers, indicating that the SR task taps into morphosyntactic areas of particular difficulty for Danish children with DLD. The classification accuracy associated with SR performance showed high levels of sensitivity and specificity (> 90%) and likelihood ratios indicating good identification potential for clinical and future research purposes. Conclusion SR performance has a strong potential for identifying children with DLD, also in Danish, and with a carefully designed SR task, performance has potential for revealing morphosyntactic difficulties. Supplemental Material https://doi.org/10.23641/asha.10314437


VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Cheong J. Lee ◽  
Rory Loo ◽  
Max V. Wohlauer ◽  
Parag J. Patel

Abstract. Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and high resolution computed tomographic angiography. Conventional catheter based angiography, however, remain the gold standard in the determination of vascular injury. There are limited data examining the outcomes of endovascular techniques to address popliteal arterial injuries. In this review, we examine the imaging modalities and current approaches and data regarding endovascular techniques for the management popliteal arterial trauma.


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