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How well do the Denver and Memphis screening criteria identify blunt cerebral vascular injury?
From 2021:

Not very well! Blunt injury to the head and neck may be enough to prompt you to order a CTA of the neck.
Click to see Memphis criteria which overlap Denver
Additional Information
- base of skull fracture with involvement of the carotid canal
- base of skull fracture with involvement of petrous temporal bone
- cervical spine fracture (including subluxation, transverse foramen involvement, and upper cervical spine fracture)
- neurological exam findings not explained by neuroimaging
- Horner syndrome
- Le Fort II or III fracture pattern
- neck soft tissue injury (e.g. seatbelt sign, hanging, hematoma)
References
https://thetraumapro.com/2021/09/01/screening-for-bcvi/