Denver criteria for blunt cerebrovascular injury
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The Denver crietria arecriteria are a set of screening criteria for blunt cerebrovascular injury (BCVI) used to reduce the need for CT angiography and its associated radiation exposure.
The screening protocol criteria for BCVI are:1
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content pendingLe Fort fracture: type 2 or 3 - base of skull fractures involving the carotid canal
- diffuse axonal injury with a GCS < 6
- cervical spine fractures that involve C1-3 and/or the transverse foramen
- cervical spine subluxation
- near hanging with hypoxic-ischaemic brain injury
A negative Denver criteria screening excludes BCVI in 99.8% of patients 2.
-<p>The <strong>Denver crietria</strong> are a set of screening criteria for <a href="/articles/blunt-cerebrovascular-injury">blunt cerebrovascular injury</a> (BCVI). </p><p>The screening protocol criteria for BCVI are:</p><ul><li>content pending</li></ul>- +<p>The <strong>Denver </strong><strong>criteria</strong> are a set of screening criteria for <a href="/articles/blunt-cerebrovascular-injury">blunt cerebrovascular injury</a> (BCVI) used to reduce the need for CT angiography and its associated radiation exposure. </p><p>The screening protocol criteria for BCVI are <sup>1</sup></p><ul>
- +<li>
- +<a href="/articles/le-fort-fracture-classification">Le Fort fracture</a>: type 2 or 3</li>
- +<li>base of skull fractures involving the <a href="/articles/carotid-canal">carotid canal</a>
- +</li>
- +<li>
- +<a href="/articles/diffuse-axonal-injury">diffuse axonal injury</a> with a GCS < 6</li>
- +<li>
- +<a href="/articles/cervical-spine-fractures">cervical spine fractures</a> that involve C1-3 and/or the transverse foramen</li>
- +<li>cervical spine subluxation</li>
- +<li>near hanging with <a href="/articles/hypoxic-ischaemic-brain-injury-1">hypoxic-ischaemic brain injury</a>
- +</li>
- +</ul><p>A negative Denver criteria screening excludes BCVI in 99.8% of patients <sup>2</sup>. </p>
References changed:
- 1. Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Elliott JP, Burch JM. Optimizing screening for blunt cerebrovascular injuries. (1999) American journal of surgery. 178 (6): 517-22. <a href="https://doi.org/10.1016/s0002-9610(99)00245-7">doi:10.1016/s0002-9610(99)00245-7</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/10670864">Pubmed</a> <span class="ref_v4"></span>
- 2. Cothren CC, Moore EE, Ray CE, Johnson JL, Moore JB, Burch JM. Cervical spine fracture patterns mandating screening to rule out blunt cerebrovascular injury. (2007) Surgery. 141 (1): 76-82. <a href="https://doi.org/10.1016/j.surg.2006.04.005">doi:10.1016/j.surg.2006.04.005</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/17188170">Pubmed</a> <span class="ref_v4"></span>
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- cases
- refs
- trauma
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