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AJNR - American Journal of Neuroradiology

Published ahead of print on September 10, 2008
doi: 10.3174/ajnr.A1261

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Whole-Body CT Trauma Imaging with Adapted and Optimized CT Angiography of the Craniocervical Vessels: Do We Need an Extra Screening Examination?

S. Langner^a, S. Fleck^b, M. Kirsch^a, M. Petrik^a and N. Hosten^a

^a Institute for Diagnostic Radiology and Neuroradiology, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany
^b Department of Neurosurgery, Ernst-Moritz-Arndt-University Greifswald, Greifswald, Germany

View larger version (50K): [in this window] [in a new window]   Fig 1. Findings in a young male patient with severe head injury and basilar skull fracture in a bicycle accident. The patient died of extensive cerebral infarction 2 days after the accident. A, direct carotid cavernosus fistula (arrow) of the left internal carotid artery with dilated superior ophthalmic vein (arrowhead). B, corresponding lateral angiogram; carotid cavernosus fistula (closed arrow) with dilated superior ophthalmic vein (arrowhead). C, angiogram of the right internal carotid artery, which is occluded by dissection.

View larger version (120K): [in this window] [in a new window]   Fig 2. Axial source image of the CTA of a patient without clinical signs or symptoms of severe head or neck injury. Dissection of the left internal carotid artery (intima flap indicated by white arrow) with patency of both lumens.