Modified Memphis criteria for blunt cerebrovascular injury
Updates to Article Attributes
Title
was changed:
Modified memphisMemphis criteria for blunt cerebrovascular injury
Body
was changed:
The modified Memphis crietria arecriteria are a set of screening criteria for blunt cerebrovascular injury (BCVI).
The screening protocol criteria for BCVI are:
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Basilarbase of skull fracture with involvement of the carotid canal -
base of skull fracture with involvement of
the carotid canalpetrous temporal bone Basilar skull fracture with involvement of petrous bone-
Cervicalcervical spine fracture -
Neurologicalneurological exam not explained bybrain imagingneuroimaging - Horner
'ssyndrome -
LeFortLe Fort II or III fracture pattern -
Neckneck soft tissue injury(seatbelt(seatbelt signor, hanging, or hematoma)
It was shown by Ciapetti et al that a modification of the original Memphis criteria could increase the sensitivity of BCVI 1. If a trauma patient meets one or many of these criteria, the diagnosis of BCVI should be excluded with CTA or DSA. DSA is far more sensitive than 32-MDCT2.
-<p>The <strong>modified Memphis 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>Basilar skull fracture with involvement of the carotid canal</li>-<li>Basilar skull fracture with involvement of petrous bone</li>-<li>Cervical spine fracture</li>-<li>Neurological exam not explained by brain imaging</li>-<li>Horner's syndrome</li>-<li>LeFort II or III fracture pattern</li>-<li>Neck soft tissue injury (seatbelt sign or hanging or hematoma)</li>-</ul><p>It was shown by Ciapetti et al that a modification of the original Memphis criteria could increase the sensitivity of BCVI <sup>1</sup>. If a trauma patient meets one or many of these criteria, the diagnosis of BCVI should be excluded with CTA or DSA. DSA is far more sensitive than 32-MDCT <sup>2</sup>.</p>- +<p>The <strong>modified Memphis </strong><strong>criteria</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>
- +<a href="/articles/base-of-skull-fracture">base of skull fracture</a> with involvement of the <a href="/articles/carotid-canal">carotid canal</a>
- +</li>
- +<li>base of skull fracture with involvement of <a href="/articles/petrous-part-of-temporal-bone">petrous temporal bone</a>
- +</li>
- +<li><a href="/articles/cervical-spine-fractures">cervical spine fracture</a></li>
- +<li>neurological exam not explained by neuroimaging</li>
- +<li><a href="/articles/horner-syndrome">Horner syndrome</a></li>
- +<li>
- +<a href="/articles/le-fort-fracture-classification">Le Fort</a> II or III fracture pattern</li>
- +<li>neck soft tissue injury (<a title="Seatbelt sign" href="/articles/seatbelt-sign">seatbelt sign</a>, hanging, or hematoma)</li>
- +</ul><p>It was shown by Ciapetti et al that a modification of the original Memphis criteria could increase the sensitivity of BCVI <sup>1</sup>. If a trauma patient meets one or many of these criteria, the diagnosis of BCVI should be excluded with CTA or DSA. DSA is far more sensitive than 32-MDCT <sup>2</sup>.</p>
Tags changed:
- trauma
- refs
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