{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T19:07:13Z","timestamp":1791832033532,"version":"4.3.4"},"reference-count":35,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Blunt cerebrovascular injuries (BCVIs) affect approximately 1% of patients with blunt trauma. An antithrombotic or anticoagulation therapy is recommended to prevent the occurrence or recurrence of neurovascular events. This treatment has to be carefully considered after severe traumatic brain injury (TBI), due to the risk of intracranial hemorrhage expansion. Thus, the physician in charge of the patient is confronted with a hemorrhagic and ischemic risk. The main objective of this study was to determine the incidence of BCVI after severe TBI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors conducted a prospective, observational, single-center study including all patients with severe TBI admitted in the trauma center. Diagnosis of BCVI was performed using a 64-channel multidetector CT. Characteristics of the patients, CT scan results, and outcomes were collected. A multivariate logistic regression model was developed to determine the risk factors of BCVI. Patients in whom BCVI was diagnosed were treated with systemic anticoagulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>In total, 228 patients with severe TBI who were treated over a period of 7 years were included. The incidence of BCVI was 9.2%. The main risk factors were as follows: motorcycle crash (OR 8.2, 95% CI 1.9\u201334.8), fracture involving the carotid canal (OR 11.7, 95% CI 1.7\u201380.9), cervical spine injury (OR 13.5, 95% CI 3.1\u201359.4), thoracic trauma (OR 7.3, 95% CI 1.1\u201351.2), and hepatic lesion (OR 13.3, 95% CI 2.1\u201384.5). Among survivors, 82% of patients with BCVI received systemic anticoagulation therapy, beginning at a median of Day 1.5. The overall stroke rate was 19%. One patient had an intracranial hemorrhagic complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Blunt cerebrovascular injuries are frequent after severe TBI (incidence 9.2%). The main risk factors are high-velocity lesions and injuries near cervical arteries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2016.4.jns152600","type":"journal-article","created":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T09:58:51Z","timestamp":1469786331000},"page":"16-22","source":"Crossref","is-referenced-by-count":90,"title":["Blunt cerebrovascular injuries in severe traumatic brain injury: incidence, risk factors, and evolution"],"prefix":"10.3171","volume":"127","author":[{"given":"Pierre","family":"Esnault","sequence":"first","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micka\u00ebl","family":"Cardinale","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henry","family":"Boret","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erwan","family":"D'Aranda","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambroise","family":"Montcriol","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julien","family":"Bordes","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertrand","family":"Prunet","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Joubert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sainte Anne Military Hospital, Toulon; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Dagain","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Sainte Anne Military Hospital, Toulon; and"},{"name":"French Military Health Service Academy Unit, \u00c9cole du Val-de-Gr\u00e2ce, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Goutorbe","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Kaiser","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"},{"name":"French Military Health Service Academy Unit, \u00c9cole du Val-de-Gr\u00e2ce, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Meaudre","sequence":"additional","affiliation":[{"name":"Intensive Care Unit and"},{"name":"French Military Health Service Academy Unit, \u00c9cole du Val-de-Gr\u00e2ce, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns152600","series-title":"Crit Care","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s13054-015-0814-z","article-title":"Timing for deep vein thrombosis chemoprophylaxis in traumatic brain injury: an evidence-based review","volume":"19","author":"Abdel-Aziz H,","year":"2015","unstructured":"Abdel-Aziz H, Dunham CM, Malik RJ, Hileman BM: Timing for deep vein thrombosis chemoprophylaxis in traumatic brain injury: an evidence-based review. 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