Traumatic intracranial aneurysms

Larson, Paul; Reisner, Andrew; Morassutti, Dante J.; Abdulhadi, Bassam; Harpring, John E.

doi:10.3171/foc.2000.8.1.1829

Cited by 178 publications

(191 citation statements)

References 52 publications

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“…[9] Pseudoaneurysms due to trauma can be demonstrated in the early preoperative period and between the fourth and seventh postoperative days. [2,3,11] No vascular injury was detected on the preoperative cerebral CT angiography in our patient. Intracranial abscess, [12] meningitis [1][2][3]5] and seizures [13] are among complications that have been reported in the literature to occur following penetrating head traumas.…”

Section: Discussionmentioning

confidence: 87%

Penetrating head trauma with four nails: an extremely rare case

Arici¹,

Akgün²,

Kaplan³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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Yedi yıl önce şizofreni tanısı almış, 34 yaşındaki erkek hastanın kendi kafasına 4 adet çivi çakmasıyla gelişen nadir bir penetran kafa travması olgusu sunuldu. Fiziksel incelemede kafasının sağ temporal ve paryetal bölgesinde saçlı deri içerisinde kraniyuma çakılı 4 adet çivi vardı. Beyin omurilik sıvısı fistülü yoktu. Hastanın nörolojik incelemesinde motor ve duyu defisiti yoktu. Glasgow koma skoru 15 idi. Direkt kafa grafisinde ve beyin bilgisayarlı tomografisinde (BT) çivilerin yaklaşık 10 cm uzunluğun-da olduğu ve değişik yönlere uzandığı görüldü. BT anjiyografisinde büyük vasküler yapılarda yaralanma yoktu. Genel anestezi altında sağ temporal bölgede olan 2 çivi direkt çekilerek, sağ paryetal bölgede olan 2 çivi ise mini kraniyotomiler ile çıkarıldı. Temporal bölge gibi kemiğin ince olduğu alanlarda çivi direkt çekilip çıkarılabilir. Ancak paryetal kemik gibi kemiğin kalın olduğu bölgelerde bu yöntemle çivilerin çıkarılması her zaman mümkün olmayabilir.Anahtar Sözcükler: Çivi; penetran kafa travması; şizofreni We present a rare case of self-inflicted penetrating head trauma by a 34-year-old male who hammered four nails into his own head; he had been diagnosed with schizophrenia seven years before. On the physical examination, four nails were observed in the hairy scalp that had been driven into the cranium in the right temporal and parietal areas of the head. No cerebrospinal fluid fistulas were present. On the neurological examination, no motor or sensory deficits were present. The Glasgow Coma Scale was 15. On direct skull X-ray and cranial computerized tomography (CT), the nails were seen to be approximately 10 cm long and extending in various directions. No injury was observed in the main vasculature on CT angiography. Under general anesthesia, two nails in the right temporal area were removed by extraction, and the other two nails in the right parietal area were removed through a mini craniotomy. In areas such as the temporal area where the bone is thin, nails can be removed by extraction. However, in areas like the parietal bone where the bone is thick, removal of the nails using this method may not always be possible.

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Section: Discussionmentioning

confidence: 87%

Penetrating head trauma with four nails: an extremely rare case

Arici¹,

Akgün²,

Kaplan³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

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“…2,3,[6][7][8][9]12 In the pediatric population and traumatic aneurysms, arguments supporting clip ligation include that it represents definitive treatment of the aneurysm, allows for reconstruction of the parent vessel, and alleviates mass effect of the aneurysm by thrombectomy. 4,6 We chose open surgery for these very reasons. Moreover, we also postulated that the wall of the pseudoaneurysm was thin and coiling would risk rupture.…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic aneurysms represent less than 1% of all intracranial aneurysms. 6 The prevalence of pediatric intracranial aneurysms is 1%-2%, of which 30% are traumatic.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Rapid ventricular pacing for a basilar artery pseudoaneurysm in a pediatric patient: case report

Nimjee¹,

Smith²,

Kanter

et al. 2015

PED

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Large cerebral aneurysms of the basilar apex are difficult to treat. Recently, endovascular treatment has mitigated much of the morbidity associated with treating these lesions. However, the morphology of aneurysms of the vertebrobasilar system can preclude endovascular treatment. Rapid ventricular pacing (RVP) facilitates open surgical treatment of cerebral aneurysms. It can assist in reducing the pressure of the neck of the aneurysm, allowing safe application of a clip. The authors present a case of a pediatric patient who developed a basilar artery pseudoaneurysm that required surgery. Given the large size of the aneurysm, RVP was performed, allowing the surgeons to dissect the dome of the aneurysm from the surrounding tissue and pontine perforating branches away from the lesion to safely clip the lesion. The patient had an uneventful recovery. To the authors' knowledge, this represents the first known case of RVP to aid in basilar artery clip occlusion in a pediatric patient.

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“…(1) Traumatic carotid artery (CA) dissection (tCAD) is a serious problem that results in neurological deficits and a mortality rate of up to 40%. (2) Traumatic CAD at the supraclinoid portion is extremely rare, especially in children. This report details the clinical observation, accompanied by radiological images, of tCAD at the supraclinoid portion after severe traumatic brain injury (TBI) in a child.…”

Section: Introductionmentioning

confidence: 99%