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Blunt cerebrovascular injury — ACEM Fellowship MCQ

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HardTraumaBlunt cerebrovascular injuryACEM Fellowship

A 27-year-old rugby player presents to a Wellington ED, triage category 2, after a hyperextension neck injury. CT cervical spine shows a C2 fracture involving the transverse foramen. He is neurologically intact but has severe neck pain and a small posterior circulation infarct on CT brain. What is the most appropriate investigation?

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Correct answer: E — CT angiography of neck vessels

Cervical fracture involving the transverse foramen and posterior circulation injury warrant CTA to assess vertebral artery injury.

Reference: ACEM trauma curriculum; blunt cerebrovascular injury guidance