Table 2.

Summary of mechanisms of injury, trauma sequelae, and associated vascular lesions in the 6 patients with BCVI

MechanismInjuryVascular LesionNeurologic Symptoms
Fall from ladderFracture of articular process of C6Dissection of vertebral artery+
Bicycle vs truckBasilar skull fractureCarotid cavernosus fistula, dissection of contralateral ICA+
Motor vehicle crashLuxation fracture of C4Dissection of vertebral artery+
Bicycle accidentSkull fracture, fracture of C4-C6Dissection of both vertebral arteries+
Motor vehicle crashNo fracture on CTUnilateral ICA dissection−
Motor vehicle crashConcussion; no fractureBilateral ICA dissections−

  • Note:—BCVI indicates blunt carotid and vertebral artery injury; ICA, internal carotid artery.