THE USE OF DIGITAL SUBTRACTION ANGIOGRAPHY IN PENETRATING NECK INJURY- A VERY INSTRUCTIVE CASE

This case report illustrates the value of intravenous digital subtract ion angiography (DSA) in cases of penetrating neck injury. The debate continues between a policy of mandatory exploration of all penetrating neck wounds versus one of selective exploration with observation of t he remainder. The argument for the former policy is that vascular trau ma can occur without clinical signs. Whichever policy is followed a DS A provides invaluable information in strengthening the decision either not to operate or if operating which operation to perform and which a pproach to use. DSA is a quick, simple and safe investigation that can be carried out at any time of day or night.