Abstract
Blunt cerebrovascular injury (BCVI) is one of the most common clinical manifestations in patients with skull base trauma and severe traumatic brain injury. It is also the cause of later stroke, including ischemia and hemorrhage. Screening high-risk patients by several grading scales will support the identification and management of the complications of BCVI. Computerized tomographic angiography (CTA) and digital subtraction angiography (DSA) play a crucial role in identifying the lesion of cerebrovascular injuries. Antithrombotic therapy is the essential treatment for minimizing the risk of BCVI-related. This chapter aims to review the updated management of BCVI.