Traumatic injuries of the cervical carotid and vertebral arteries as a result of blunt vascular trauma are identified under the scope of blunt cerebrovascular injuries (BCVI) or blunt vascular neck injuries (BVNI). The main objective of this chapter is to present the reader the basic as well as the advanced semiology of blunt vascular neck injuries, its most common and less frequently observed patterns, potential pitfalls, and recent imaging techniques that can enhance diagnostic accuracy. By the end of this chapter, the reader will also have reviewed when to suspect and what patients to screen for BVNI, how to classify the injuries using the most accepted modified Denver/Biffl criteria, and how to guide imaging follow-up and will understand current guidelines for treatment.