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Thu May 17 12:26:45 BST 2007

YES.  In a 4 yo perhaps use ultrasound (doppler).  Older patient, CT-A.
OK - so it wasn't a short yes or no!  ;-)

Take care,
Ron

PS - what DID you do?

>>> Roy Danks <roydanks at hotmail.com> 5/17/2007 12:05 AM >>>
Here's the case scenario.  I'm really only interested in YES or NO answers based on the case.  I've read the literature.

A 4 y.o. wrecks her bike (?speed).  She strikes her right anterior neck, directly over the SCM groove, zone II, on the round end of the handle bar.  There is no LOC.  There is a hematoma, non-expanding, non-pulsatile, no bruit or thrill.  No neuro signs/symptoms at all.  But, there is a round "gouge" mark in the shape of the handle bar directly over the hematoma.

My question:  Do you screen for BCI using a CTA or other contrast study of your choice?  

I've reviewed the literature, but I'm interested to see how the list-serv members would evaluate this.

Thank you in advance.
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