E2792. Pain in My Neck: A Case-Based Review of Penetrating and Blunt Vascular Injuries of the Neck
Authors
Alexander Frank;
SUNY Downstate Medical Center
Michael Covington;
SUNY Downstate Medical Center
Ruby Vassar;
SUNY Downstate Medical Center
Karl Diener;
SUNY Downstate Medical Center
Background
Penetrating and blunt vascular traumas to the neck are frequently seen in the emergency department. Given the increased prevalence of nonsurgical intervention in these cases, it is important for the radiologist to understand the relevant anatomy and common complications as well as what to report to aid in the management of these patients. This exhibit will provide a case-based approach to highlight typical patterns of injury in the neck.
Educational Goals / Teaching Points
The purpose of this exhibit is to explore the uses of different modalities in the diagnosis of blunt and penetrating trauma complications. We will present cases with classic diagnostic clues when evaluating for complications such as dissection, fistula formation, vasospasm, arterial and venous injury. Additionally, we will review the mechanism of injury in blunt versus penetrating trauma of the neck and identify the range of traumatic vascular injuries of the neck with a focus on specific CT findings.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
We will review the key vascular anatomy of the neck; common patterns of injury, surgical and nonsurgical interventions, and what surgeons want to know regarding these findings.
Conclusion
Penetrating and blunt vascular traumas are frequently encountered in the emergency department. The complex anatomy of the neck as well as recognizing common areas for vascular trauma are instrumental in the management of these patients.
