case_images: PMC4036724_01
case_images: PMC4036724_02
case_images: PMC4036724_03
case_images: CTA brain transverse image demonstrating occlusion of right internal carotid artery.
case_images: 1749-7922-9-36-1.jpg
case_images: PMC4036724_03_1749-7922-9-36-1.jpg
case_images: F1
case_images: Two CT Angiograms demonstrating his Grade IV BCVI injury are provided below (Figures 1 and 2).
case_images: CTA brain coronal image demonstrating diminutive right posterior communicating artery.
case_images: 1749-7922-9-36-2.jpg
case_images: PMC4036724_03_1749-7922-9-36-2.jpg
case_images: F2
case_images: Two CT Angiograms demonstrating his Grade IV BCVI injury are provided below (Figures 1 and 2).
case_images: PMC4036724_04
case_images: University of Florida severe brain injury algorithm.
case_images: 1749-7922-9-36-3.jpg
case_images: PMC4036724_04_1749-7922-9-36-3.jpg
case_images: F3
case_images: BCVI in context of trauma includes any cervical fracture, unexplained neurological deficit, basal cranial fracture into the carotid canal, Le Fort 2 or 3 fracture, cervical hematoma, cervical bruit, ischemic stroke, or head injury with GCS <6. Below is the University of Florida Severe Brain Injury Protocol which was followed during the treatment of this patient (Figure 3).