To explore the risk factors, clinical manifestations, and treatment of traumatic cerebrovascular injury.

The clinical data of 39 patients with traumatic cerebrovascular injury admitted to Zhangjiagang Hospital Affiliated to Soochow University from January 2012 to December 2022 were analyzed retrospectively. The clinical manifestations and treatment methods were analyzed.

Among 19 patients with traumatic cerebral artery stenosis or occlusion, 12 patients were treated with antithrombotic therapy, withe 8 patients with normal vascular lumen and the other 4 patients without recanalization, and 7 patients were opened with stent implantation, with 1 patient died. Among 8 patients with traumatic aneurysm who underwent surgical treatment, 2 patients died. The symptoms of 9 cases of traumatic carotid cavernous fistula disappeared after surgical treatment, with all recovered well. One patient died and 2 patients recovered well after surgical treatment in 3 patients with cerebral artery transection.

The patients with neurological symptoms, which cannot be explained by head CT, GCS scores of 3-8 points, localized or diffuse thick subarachnoid hemorrhage, massive hemorrhage in the oral and nasal cavity or external ear canal, cervical vertebra C1-3 fracture, cervical vertebra fracture subluxation, penetrating injury, and new neurological symptoms or signs after injury, should be paid high attension to traumatic cerebrovascular injury, and can be identified by head and neck CT angiography or digital substraction angiography. Individualized treatment for different types of TCVI patients is helpful to improve the neurological function and prognosis of patients.