This case is a good example of a Biffl grade 3 injury to the vertebral artery.
The Biffl grade for blunt cerebrovascular injury (BCVI) describes a 5-part scale of injury features:
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grade I: mild intimal injury or irregular intima
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grade II: dissection with raised intimal flap / intramural hematoma with luminal narrowing >25% / intraluminal thrombosis
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grade III: pseudoaneurysm
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grade IV: vessel occlusion/thrombosis
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grade V: vessel transection