https://he05.tci-thaijo.org/index.php/TJNS/issue/feed 2026-04-24T08:47:18+07:00 นายแพทย์กิติพร ศรีอมรรัตนกุล thaijns2023@gmail.com Open Journal Systems <p>Thai Journal of Neurological Surgery (abbreviated “Thai J Neurol Surg.”) It is the official publication of the Royal College of Neurological Surgeons of Thailand, printed and distributed to its members, and is issued quarterly.</p> <p>Its objectives are to:</p> <p>1. Present research, writings, articles, and scholarly opinions in neurosurgery and related fields.</p> <p>2. Serve as a forum for exchanging ideas among members of the Royal College.</p> <p>3. Support members’ self-directed continuing education.</p> https://he05.tci-thaijo.org/index.php/TJNS/article/view/7507 2026-03-23T20:43:50+07:00 Thiti Thitisaksakul popthiti@gmail.com

<p><strong>Background: </strong>Evidence on blunt cerebrovascular injury (BCVI) remains limited. This study aimed to describe the characteristics of BCVI in a tertiary care referral hospital and trauma center in northeastern Thailand. <strong>Methods:</strong> This retrospective descriptive study was conducted in the trauma ward and trauma intensive care unit (TICU) at Khon Kaen Hospital from 2020 to 2025. The eligible criteria were the patients sustained blunt trauma and were diagnosed BCVI by computed tomography of 4 vessels of the neck (CTA neck). Baseline data were recorded, including injury characteristics, clinical signs symptoms, and risk factors following standard screening criteria including Denver and Memphis group. Potential endpoints including mortality and in-hospital stroke were also collected. <strong>Results:</strong> A total of 14 patients were included in this study. Most were male 71.4%. The mean age was 47.9±17.5 years. The mean injury severity score (ISS) was 18.9±7.0. The potential parameters for BCVI were severe TBI with GCS &lt; 6 (28.6%) and stroke as a primary presentation (28.6%). Relevant CT findings suggestive of BCVI were cervical spine fracture (42.9%) and complex skull fracture, respectively (28.6%). Most of the patients were presented with total occlusion (grade 4) BCVI with prevalence of 42.9%. The locations of BCVI were equal between common carotid and vertebral arteries. There were 3 (21.4%) patients with in-hospital stroke and 28.6% in-hospital mortality. Median hospital cost was 96,884.5 [45,090.5, 268,775.5] baht. <strong>Conclusion:</strong> BCVI was prevalent in tertiary care referral hospital and trauma center. Serious in-hospital complications especially stroke and death were not uncommon. The best way to prevent complications is early detection with high index of suspicious.</p>

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