Missed diagnoses of Blunt Cerebrovascular Injuries result in Ischemic stroke: two cases report

Abstract

Abstract Here we report two patients with a car accident injury who suffered a cerebral infarction following a missed diagnosis of blunt cerebrovascular injury. Difficulty in diagnosis of these cases because of no neurological signs or symptoms on initial assessment is a lesson for physicians from emergency room. Our conclusion upon dealing with the situation is that traumatic blunt cerebrovascular injury has potentially devastating consequences. There is often a delay between the trauma and the onset of symptoms of neurological deficit. Therefore, clinicians should be cautious in this situation. Early detection and intervention are needed to prevent the development of ischemic stroke secondary to blunt cerebrovascular injury in combination with cerebral infarction, thereby improving the prognosis of patients.