Blunt cerebrovascular injuries in the child
Abstract Background Although blunt cerebrovascular injuries (BCVIs) are a well-recognized sequela of trauma in adults, there have been few reports in children. The investigators questioned whether adult screening protocols are appropriate in the pediatric population. The purpose of this study was to...
Gespeichert in:
| Veröffentlicht in: | The American journal of surgery 2012-07, Vol.204 (1), p.7-10 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 10 |
|---|---|
| container_issue | 1 |
| container_start_page | 7 |
| container_title | The American journal of surgery |
| container_volume | 204 |
| creator | Jones, Teresa S., M.D Burlew, Clay Cothren, M.D Kornblith, Lucy Z., M.D Biffl, Walter L., M.D Partrick, David A., M.D Johnson, Jeffrey L., M.D Barnett, Carlton C., M.D Bensard, Denis D., M.D Moore, Ernest E., M.D |
| description | Abstract Background Although blunt cerebrovascular injuries (BCVIs) are a well-recognized sequela of trauma in adults, there have been few reports in children. The investigators questioned whether adult screening protocols are appropriate in the pediatric population. The purpose of this study was to describe the incidence, injury patterns, and stroke rates of pediatric patients sustaining BCVIs. Methods Pediatric patients (aged ≤ 18 years) diagnosed with BCVIs at a regional level I trauma center and a pediatric level I trauma center since 1996 were reviewed. Results Forty-five patients sustained BCVIs (60% male; mean age, 13 ± .7 years; mean Injury Severity Score, 23 ± 2). Three patients exsanguinated, and 10 presented with stroke; neurologic changes occurred 17 ± 6 hours after injury (range, 1–72 hours). Screening indications were present in 30%. Thirty-two asymptomatic patients were diagnosed. All but 1 received antithrombotic agents; 1 patient had neurologic deterioration despite heparinization. Comparing asymptomatic patients with those with stroke, there was a significant difference in age (15 vs 11 years). Conclusions More than two-thirds of patients presenting with stroke did not have screening indications according to adult protocols. With the availability of noninvasive diagnostic imaging such as computed tomographic angiography, broader screening guidelines for children should be instituted. |
| doi_str_mv | 10.1016/j.amjsurg.2011.07.015 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1021127765</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0002961011006532</els_id><sourcerecordid>1021127765</sourcerecordid><originalsourceid>FETCH-LOGICAL-c478t-23afd45b329eeedd62442cb0fd8f7000d159fc28ca3b194d4119503bcd713fa33</originalsourceid><addsrcrecordid>eNqFkcFq3DAQhkVoyG7SPkLKQigEgt0ZybbsS0ob0iQQyKHtWcjSuCvHa28kO5C3j5bddCGXniTBN6N_vmHsFCFFwOJrm-pVGyb_N-WAmIJMAfMDNsdSVgmWpfjA5gDAk6pAmLHjENr4RMzEEZtxjpILlHN28aOb-nFhyFPth2cdzNRpv3B9O3lHIV4W45IWZuk6-5EdNroL9Gl3nrA_P69_X90m9w83d1ff7xOTyXJMuNCNzfJa8IqIrC14lnFTQ2PLRsYMFvOqMbw0WtRYZTZDrHIQtbESRaOFOGHn275rPzxNFEa1csFQ1-mehikoBI7IpSzyiJ69Q9th8n1MFylRFMBFVUQq31LGDyF4atTau5X2LxFSG5uqVTubamNTgVTRZqz7vOs-1Suy_6re9EXgyw6I4nTXeN0bF_ZcAShlXkXu25ajqO3ZkVfBOOoNWefJjMoO7r9RLt91MJ3rXfz0kV4o7KdWgStQvzar32weESB64uIVxX6oEA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1036602396</pqid></control><display><type>article</type><title>Blunt cerebrovascular injuries in the child</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><source>ProQuest Central UK/Ireland</source><creator>Jones, Teresa S., M.D ; Burlew, Clay Cothren, M.D ; Kornblith, Lucy Z., M.D ; Biffl, Walter L., M.D ; Partrick, David A., M.D ; Johnson, Jeffrey L., M.D ; Barnett, Carlton C., M.D ; Bensard, Denis D., M.D ; Moore, Ernest E., M.D</creator><creatorcontrib>Jones, Teresa S., M.D ; Burlew, Clay Cothren, M.D ; Kornblith, Lucy Z., M.D ; Biffl, Walter L., M.D ; Partrick, David A., M.D ; Johnson, Jeffrey L., M.D ; Barnett, Carlton C., M.D ; Bensard, Denis D., M.D ; Moore, Ernest E., M.D</creatorcontrib><description>Abstract Background Although blunt cerebrovascular injuries (BCVIs) are a well-recognized sequela of trauma in adults, there have been few reports in children. The investigators questioned whether adult screening protocols are appropriate in the pediatric population. The purpose of this study was to describe the incidence, injury patterns, and stroke rates of pediatric patients sustaining BCVIs. Methods Pediatric patients (aged ≤ 18 years) diagnosed with BCVIs at a regional level I trauma center and a pediatric level I trauma center since 1996 were reviewed. Results Forty-five patients sustained BCVIs (60% male; mean age, 13 ± .7 years; mean Injury Severity Score, 23 ± 2). Three patients exsanguinated, and 10 presented with stroke; neurologic changes occurred 17 ± 6 hours after injury (range, 1–72 hours). Screening indications were present in 30%. Thirty-two asymptomatic patients were diagnosed. All but 1 received antithrombotic agents; 1 patient had neurologic deterioration despite heparinization. Comparing asymptomatic patients with those with stroke, there was a significant difference in age (15 vs 11 years). Conclusions More than two-thirds of patients presenting with stroke did not have screening indications according to adult protocols. With the availability of noninvasive diagnostic imaging such as computed tomographic angiography, broader screening guidelines for children should be instituted.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2011.07.015</identifier><identifier>PMID: 22172317</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject><![CDATA[Accidents, Traffic ; Adolescent ; Angiography ; Anticoagulants - administration & dosage ; Biological and medical sciences ; Blunt cerebrovascular injury ; Cardiovascular Agents - administration & dosage ; Carotid Artery Injuries - etiology ; Carotid injury ; Cerebrovascular Circulation ; Child ; Child, Preschool ; Children ; Colorado - epidemiology ; Drug therapy ; Female ; Fibrinolytic Agents - administration & dosage ; General aspects ; Head Injuries, Closed - complications ; Head Injuries, Closed - diagnosis ; Head Injuries, Closed - drug therapy ; Head Injuries, Closed - epidemiology ; Head Injuries, Closed - physiopathology ; Heparin - administration & dosage ; Hospitals ; Humans ; Injuries ; Injury Severity Score ; Male ; Medical sciences ; Neurology ; Pediatric ; Pediatrics ; Platelet Aggregation Inhibitors - administration & dosage ; Stroke ; Stroke - drug therapy ; Stroke - etiology ; Stroke - physiopathology ; Stroke - prevention & control ; Surgery ; Time Factors ; Tomography, X-Ray Computed ; Trauma ; Treatment Outcome ; Vascular diseases and vascular malformations of the nervous system ; Vertebral Artery - injuries ; Vertebral injury ; Young Adult]]></subject><ispartof>The American journal of surgery, 2012-07, Vol.204 (1), p.7-10</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-23afd45b329eeedd62442cb0fd8f7000d159fc28ca3b194d4119503bcd713fa33</citedby><cites>FETCH-LOGICAL-c478t-23afd45b329eeedd62442cb0fd8f7000d159fc28ca3b194d4119503bcd713fa33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1036602396?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26017759$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22172317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jones, Teresa S., M.D</creatorcontrib><creatorcontrib>Burlew, Clay Cothren, M.D</creatorcontrib><creatorcontrib>Kornblith, Lucy Z., M.D</creatorcontrib><creatorcontrib>Biffl, Walter L., M.D</creatorcontrib><creatorcontrib>Partrick, David A., M.D</creatorcontrib><creatorcontrib>Johnson, Jeffrey L., M.D</creatorcontrib><creatorcontrib>Barnett, Carlton C., M.D</creatorcontrib><creatorcontrib>Bensard, Denis D., M.D</creatorcontrib><creatorcontrib>Moore, Ernest E., M.D</creatorcontrib><title>Blunt cerebrovascular injuries in the child</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background Although blunt cerebrovascular injuries (BCVIs) are a well-recognized sequela of trauma in adults, there have been few reports in children. The investigators questioned whether adult screening protocols are appropriate in the pediatric population. The purpose of this study was to describe the incidence, injury patterns, and stroke rates of pediatric patients sustaining BCVIs. Methods Pediatric patients (aged ≤ 18 years) diagnosed with BCVIs at a regional level I trauma center and a pediatric level I trauma center since 1996 were reviewed. Results Forty-five patients sustained BCVIs (60% male; mean age, 13 ± .7 years; mean Injury Severity Score, 23 ± 2). Three patients exsanguinated, and 10 presented with stroke; neurologic changes occurred 17 ± 6 hours after injury (range, 1–72 hours). Screening indications were present in 30%. Thirty-two asymptomatic patients were diagnosed. All but 1 received antithrombotic agents; 1 patient had neurologic deterioration despite heparinization. Comparing asymptomatic patients with those with stroke, there was a significant difference in age (15 vs 11 years). Conclusions More than two-thirds of patients presenting with stroke did not have screening indications according to adult protocols. With the availability of noninvasive diagnostic imaging such as computed tomographic angiography, broader screening guidelines for children should be instituted.</description><subject>Accidents, Traffic</subject><subject>Adolescent</subject><subject>Angiography</subject><subject>Anticoagulants - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Blunt cerebrovascular injury</subject><subject>Cardiovascular Agents - administration & dosage</subject><subject>Carotid Artery Injuries - etiology</subject><subject>Carotid injury</subject><subject>Cerebrovascular Circulation</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Colorado - epidemiology</subject><subject>Drug therapy</subject><subject>Female</subject><subject>Fibrinolytic Agents - administration & dosage</subject><subject>General aspects</subject><subject>Head Injuries, Closed - complications</subject><subject>Head Injuries, Closed - diagnosis</subject><subject>Head Injuries, Closed - drug therapy</subject><subject>Head Injuries, Closed - epidemiology</subject><subject>Head Injuries, Closed - physiopathology</subject><subject>Heparin - administration & dosage</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Injuries</subject><subject>Injury Severity Score</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Pediatric</subject><subject>Pediatrics</subject><subject>Platelet Aggregation Inhibitors - administration & dosage</subject><subject>Stroke</subject><subject>Stroke - drug therapy</subject><subject>Stroke - etiology</subject><subject>Stroke - physiopathology</subject><subject>Stroke - prevention & control</subject><subject>Surgery</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Trauma</subject><subject>Treatment Outcome</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vertebral Artery - injuries</subject><subject>Vertebral injury</subject><subject>Young Adult</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkcFq3DAQhkVoyG7SPkLKQigEgt0ZybbsS0ob0iQQyKHtWcjSuCvHa28kO5C3j5bddCGXniTBN6N_vmHsFCFFwOJrm-pVGyb_N-WAmIJMAfMDNsdSVgmWpfjA5gDAk6pAmLHjENr4RMzEEZtxjpILlHN28aOb-nFhyFPth2cdzNRpv3B9O3lHIV4W45IWZuk6-5EdNroL9Gl3nrA_P69_X90m9w83d1ff7xOTyXJMuNCNzfJa8IqIrC14lnFTQ2PLRsYMFvOqMbw0WtRYZTZDrHIQtbESRaOFOGHn275rPzxNFEa1csFQ1-mehikoBI7IpSzyiJ69Q9th8n1MFylRFMBFVUQq31LGDyF4atTau5X2LxFSG5uqVTubamNTgVTRZqz7vOs-1Suy_6re9EXgyw6I4nTXeN0bF_ZcAShlXkXu25ajqO3ZkVfBOOoNWefJjMoO7r9RLt91MJ3rXfz0kV4o7KdWgStQvzar32weESB64uIVxX6oEA</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Jones, Teresa S., M.D</creator><creator>Burlew, Clay Cothren, M.D</creator><creator>Kornblith, Lucy Z., M.D</creator><creator>Biffl, Walter L., M.D</creator><creator>Partrick, David A., M.D</creator><creator>Johnson, Jeffrey L., M.D</creator><creator>Barnett, Carlton C., M.D</creator><creator>Bensard, Denis D., M.D</creator><creator>Moore, Ernest E., M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Blunt cerebrovascular injuries in the child</title><author>Jones, Teresa S., M.D ; Burlew, Clay Cothren, M.D ; Kornblith, Lucy Z., M.D ; Biffl, Walter L., M.D ; Partrick, David A., M.D ; Johnson, Jeffrey L., M.D ; Barnett, Carlton C., M.D ; Bensard, Denis D., M.D ; Moore, Ernest E., M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-23afd45b329eeedd62442cb0fd8f7000d159fc28ca3b194d4119503bcd713fa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Accidents, Traffic</topic><topic>Adolescent</topic><topic>Angiography</topic><topic>Anticoagulants - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Blunt cerebrovascular injury</topic><topic>Cardiovascular Agents - administration & dosage</topic><topic>Carotid Artery Injuries - etiology</topic><topic>Carotid injury</topic><topic>Cerebrovascular Circulation</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Colorado - epidemiology</topic><topic>Drug therapy</topic><topic>Female</topic><topic>Fibrinolytic Agents - administration & dosage</topic><topic>General aspects</topic><topic>Head Injuries, Closed - complications</topic><topic>Head Injuries, Closed - diagnosis</topic><topic>Head Injuries, Closed - drug therapy</topic><topic>Head Injuries, Closed - epidemiology</topic><topic>Head Injuries, Closed - physiopathology</topic><topic>Heparin - administration & dosage</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Injuries</topic><topic>Injury Severity Score</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurology</topic><topic>Pediatric</topic><topic>Pediatrics</topic><topic>Platelet Aggregation Inhibitors - administration & dosage</topic><topic>Stroke</topic><topic>Stroke - drug therapy</topic><topic>Stroke - etiology</topic><topic>Stroke - physiopathology</topic><topic>Stroke - prevention & control</topic><topic>Surgery</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Trauma</topic><topic>Treatment Outcome</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vertebral Artery - injuries</topic><topic>Vertebral injury</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jones, Teresa S., M.D</creatorcontrib><creatorcontrib>Burlew, Clay Cothren, M.D</creatorcontrib><creatorcontrib>Kornblith, Lucy Z., M.D</creatorcontrib><creatorcontrib>Biffl, Walter L., M.D</creatorcontrib><creatorcontrib>Partrick, David A., M.D</creatorcontrib><creatorcontrib>Johnson, Jeffrey L., M.D</creatorcontrib><creatorcontrib>Barnett, Carlton C., M.D</creatorcontrib><creatorcontrib>Bensard, Denis D., M.D</creatorcontrib><creatorcontrib>Moore, Ernest E., M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jones, Teresa S., M.D</au><au>Burlew, Clay Cothren, M.D</au><au>Kornblith, Lucy Z., M.D</au><au>Biffl, Walter L., M.D</au><au>Partrick, David A., M.D</au><au>Johnson, Jeffrey L., M.D</au><au>Barnett, Carlton C., M.D</au><au>Bensard, Denis D., M.D</au><au>Moore, Ernest E., M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Blunt cerebrovascular injuries in the child</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>204</volume><issue>1</issue><spage>7</spage><epage>10</epage><pages>7-10</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Abstract Background Although blunt cerebrovascular injuries (BCVIs) are a well-recognized sequela of trauma in adults, there have been few reports in children. The investigators questioned whether adult screening protocols are appropriate in the pediatric population. The purpose of this study was to describe the incidence, injury patterns, and stroke rates of pediatric patients sustaining BCVIs. Methods Pediatric patients (aged ≤ 18 years) diagnosed with BCVIs at a regional level I trauma center and a pediatric level I trauma center since 1996 were reviewed. Results Forty-five patients sustained BCVIs (60% male; mean age, 13 ± .7 years; mean Injury Severity Score, 23 ± 2). Three patients exsanguinated, and 10 presented with stroke; neurologic changes occurred 17 ± 6 hours after injury (range, 1–72 hours). Screening indications were present in 30%. Thirty-two asymptomatic patients were diagnosed. All but 1 received antithrombotic agents; 1 patient had neurologic deterioration despite heparinization. Comparing asymptomatic patients with those with stroke, there was a significant difference in age (15 vs 11 years). Conclusions More than two-thirds of patients presenting with stroke did not have screening indications according to adult protocols. With the availability of noninvasive diagnostic imaging such as computed tomographic angiography, broader screening guidelines for children should be instituted.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22172317</pmid><doi>10.1016/j.amjsurg.2011.07.015</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9610 |
| ispartof | The American journal of surgery, 2012-07, Vol.204 (1), p.7-10 |
| issn | 0002-9610 1879-1883 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1021127765 |
| source | MEDLINE; Access via ScienceDirect (Elsevier); ProQuest Central UK/Ireland |
| subjects | Accidents, Traffic Adolescent Angiography Anticoagulants - administration & dosage Biological and medical sciences Blunt cerebrovascular injury Cardiovascular Agents - administration & dosage Carotid Artery Injuries - etiology Carotid injury Cerebrovascular Circulation Child Child, Preschool Children Colorado - epidemiology Drug therapy Female Fibrinolytic Agents - administration & dosage General aspects Head Injuries, Closed - complications Head Injuries, Closed - diagnosis Head Injuries, Closed - drug therapy Head Injuries, Closed - epidemiology Head Injuries, Closed - physiopathology Heparin - administration & dosage Hospitals Humans Injuries Injury Severity Score Male Medical sciences Neurology Pediatric Pediatrics Platelet Aggregation Inhibitors - administration & dosage Stroke Stroke - drug therapy Stroke - etiology Stroke - physiopathology Stroke - prevention & control Surgery Time Factors Tomography, X-Ray Computed Trauma Treatment Outcome Vascular diseases and vascular malformations of the nervous system Vertebral Artery - injuries Vertebral injury Young Adult |
| title | Blunt cerebrovascular injuries in the child |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T21%3A32%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Blunt%20cerebrovascular%20injuries%20in%20the%20child&rft.jtitle=The%20American%20journal%20of%20surgery&rft.au=Jones,%20Teresa%20S.,%20M.D&rft.date=2012-07-01&rft.volume=204&rft.issue=1&rft.spage=7&rft.epage=10&rft.pages=7-10&rft.issn=0002-9610&rft.eissn=1879-1883&rft.coden=AJSUAB&rft_id=info:doi/10.1016/j.amjsurg.2011.07.015&rft_dat=%3Cproquest_cross%3E1021127765%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1036602396&rft_id=info:pmid/22172317&rft_els_id=1_s2_0_S0002961011006532&rfr_iscdi=true |