Traumatic Intracranial Carotid Tree Aneurysms

Uzan, Mustafa; Cantasdemir, Murat; Seçkin, M. S.; Hancı, Murat; Koçer, Naci; Sarioğlu, A; Işlak, Civan

doi:10.1227/00006123-199812000-00024

Cited by 29 publications

(51 citation statements)

References 36 publications

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“…Catheter angiography demonstrated a traumatic aneurysm on the day of trauma (day 0) in 20 cases, 1,6,7,15,16,[20][21][22]24,27,55,61,67,79) and as late as several years after trauma in six cases. 8,12,14,76) False negative angiography occurred on day 0 in 17 cases, 7,22-24,32,36,43, 59,62,67,69,75,80,84,85) on day 1 in two cases, 71,74) on day 2 in one case, 1) on day 3 in one case, 81) on day 4 in two cases, 3,28) on day 7 in one case, 11) on day 10 in one case, 37) and on day 80 in one case. 33) Spontaneous cure (disappearance) of the traumatic aneurysm, which had been demonstrated previously, occurred in nine cases between day 12 and 7 years from the trauma.…”

Section: Discussionmentioning

confidence: 97%

"Early" Apoplexy Due to Traumatic Intracranial Aneurysm. Case Report.

Komiyama

Morikawa

Nakajima

et al. 2001

Neurol. Med. Chir.(Tokyo)

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A 76-year-old man presented with a traumatic aneurysm of the left internal carotid artery which caused repeated subarachnoid hemorrhages within 20 hours of a fall from a height. Early computed tomography (CT) detected no brain abnormalities, but repeat CT found subarachnoid hemorrhage. Internal carotid angiography detected a pseudoaneurysm, which was not treated because of his poor clinical condition. He died of multiple organ failure. Early detection of a traumatic intracranial aneurysm is important for the prevention of aneurysmal rupture, or``delayed'' apoplexy. Review of 171 cases with traumatic aneurysms from the literature found that false negative angiography occurred only in three cases on post-trauma day 7 and thereafter. Early diagnostic angiography within a week of the initial trauma is indicated if traumatic aneurysm is suspected to detect early signs of irregularity, spasm, and narrowing of the arterial wall. Repeat angiography is indicated if aneurysmal formation is still highly suspected in spite of negative initial angiography.

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Section: Discussionmentioning

confidence: 97%

"Early" Apoplexy Due to Traumatic Intracranial Aneurysm. Case Report.

Komiyama

Morikawa

Nakajima

et al. 2001

Neurol. Med. Chir.(Tokyo)

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“…1,2,5,6,8-12,14, 15,18,[20][21][22][23][24][25][26][27][28][29] Most patients with supraclinoid traumatic aneurysms tend to be young, ranging from 0.5 years to 56 years (mean 28.6 years) with a strong male predominance (male:female ＝ 27:2). Most cases were associated with closed head trauma, and half had demonstrable basal skull fractures.…”

Section: Discussionmentioning

confidence: 99%

“…7,11,23,28) Such aneurysms are usually located on the distal cerebral arteries, and rarely on the internal carotid artery (ICA), mostly in the petrous, cavernous, and supraclinoid segments. 7,11,16,21,23,24) Traumatic intracranial aneurysms are associated with high mortality and morbidity, 16,20,28) so must be detected as early as possible, normally by angiography. The optimal timing of angiography after head injury remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Traumatic Aneurysm of the Supraclinoid Internal Carotid Artery -Case Report-

Ohba

Kuroshima

Mayanagi

et al. 2009

Neurol. Med. Chir.(Tokyo)

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A 23-year-old male was admitted after a motor vehicle accident with acute epidural hematoma, diffuse subarachnoid hemorrhage (SAH) in the basal cistern, and fractures at the anterior cranial base. Angiography revealed an aneurysm of the right supraclinoid internal carotid artery (ICA). His consciousness suddenly worsened on the 23rd day. Expansion of the SAH in the basal cistern and two hump aneurysms were detected. He underwent endovascular embolization of these aneurysms and the right ICA with Guglielmi detachable coil. Traumatic aneurysms are difficult to diagnose in the early period after injury and are associated with a high mortality. Endovascular treatments for traumatic aneurysms have lower mortality rate, and can be performed under local anesthesia.

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“…Endovascular techniques are also of great utility, particularly for lesions involving the cavernous sinus. 72 Infectious or mycotic sources are another important cause of aneurysms in children. In adults mycotic aneurysms represent approximately 2 to 3% of the total, but in children up to 10% of aneurysms are mycotic in origin.…”

Section: Case Series Published In the Ct Mr Imaging And Early Neuromentioning

confidence: 99%

History of surgery for cerebrovascular disease in children. Part I. Intracranial arterial aneurysms

Blount

Oakes

Tubbs

et al. 2006

FOC

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✓ Intracranial aneurysms are rare in children, and their origins and treatment methods tend to be different from those in these same entities in adults. These lesions tend to be congenital or to have an infectious or traumatic origin. In the current paper the authors trace the historical evolution of the diagnosis and treatment of intracranial aneurysms in children. Based on the literature, these lesions appear to occur in children in less than 3% of all series. The literature also supports the suggestion that symptoms from these aneurysms are often from mass effect and that giant aneurysms and lesions in the posterior cranial fossa are relatively more common in children than in adults. The termination of the carotid artery and the anterior cerebral artery seem to be disproportionately common sites of aneurysm formation in this cohort. Interestingly, surgical outcomes in children appear to be moderately better than in adults. Based on the literature, the claim can be made that a multidisciplinary approach to the management of such aneurysms can yield good outcomes in a very high percentage of children treated.

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Traumatic Intracranial Carotid Tree Aneurysms

Cited by 29 publications

References 36 publications

"Early" Apoplexy Due to Traumatic Intracranial Aneurysm. Case Report.

"Early" Apoplexy Due to Traumatic Intracranial Aneurysm. Case Report.

Traumatic Aneurysm of the Supraclinoid Internal Carotid Artery -Case Report-

History of surgery for cerebrovascular disease in children. Part I. Intracranial arterial aneurysms

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