The evolution of the treatment of traumatic cerebrovascular injury during wartime

Randy S. Bell*, Robert D. Ecker, Meryl A. Severson, John E. Wanebo, Benjamin Crandall, Rocco A. Armonda

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

54 Scopus citations


The approach to traumatic craniocervical vascular injury has evolved significantly in recent years. Conflicts prior to Operations Iraqi and Enduring Freedom were characterized by minimal intervention in the setting of severe penetrating head injury, in large part due to limited far-forward resource availability. Consequently, sequelae of penetrating head injury like traumatic aneurysm formation remained poorly characterized with a paucity of pathophysiological descriptions. The current conflicts have seen dramatic improvements with respect to the management of severe penetrating and closed head injuries. As a result of the rapid field resuscitation and early cranial decompression, patients are surviving longer, which has led to diagnosis and treatment of entities that had previously gone undiagnosed. Therefore, in this paper the authors' purpose is to review their experience with severe traumatic brain injury complicated by injury to the craniocervical vasculature. Historical approaches will be reviewed, and the importance of modern endovascular techniques will be emphasized.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalNeurosurgical Focus
Issue number5
StatePublished - May 2010
Externally publishedYes


  • Endovascular
  • Penetrating head trauma
  • Traumatic aneurysm
  • Traumatic vasospasm


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