Blunt Cerebrovascular Injury: Are We Overscreening Low-Mechanism Trauma?

Background And Purpose: Screening patients with trauma for blunt cerebrovascular injury with neck CTA is a common practice, but there remains disagreement regarding which patients should be screened. We reviewed adult blunt cerebrovascular injury data from a level 1 trauma center to investigate whether screening is warranted in low-mechanism trauma.

Materials And Methods: We reviewed all neck CTAs performed on adult trauma patients in the emergency department during the 2019 calendar year.

Positional aphasia as a manifestation of syndrome of the trephined: illustrative case.

Background: The authors report a case of a 66-year-old male who presented acutely with a subdural hematoma who was managed operatively with craniotomy. His course was complicated by a postoperative epidural hematoma, which, on the basis of intraoperative findings at the second surgery, was managed with evacuation of the hematoma and removal of the bone flap.

Observations: The patient's subsequent recovery was remarkable for a reproducible positional aphasia in the early postoperative period with an ultimate diagnosis of syndrome of the trephined.

Tectal Hemorrhage in the Setting of COVID-19 Infection.

Introduction: Coronavirus disease 2019 (COVID-19) has emerging evidence of a relationship to intracranial hemorrhage. The hemorrhages described to date often affect patients on anticoagulation, of advanced age, of nonwhite race, and requiring mechanical ventilation. Unusual or rare hemorrhage patterns have not as yet been described in the literature as being associated with COVID-19.