Traumatic Neurovascular Injury

The management of traumatic neurovascular injuries has changed dramatically over the past 25 years. Advances in imaging and technology have allowed early recognition of asymptomatic injuries, therapy to prevent stroke, and endovascular interventions to both prevent and treat potentially devastating injuries. There are signs and symptoms, as well as known risk factors, that should prompt diagnostic evaluation. Computed tomographic angiography is a reliable imaging test, and antithrombotic therapy provides effective stroke prevention. Endovascular interventions require further study.