J Korean Neurotraumatol Soc.  2005 Oct;1(1):66-72. 10.13004/jknts.2005.1.1.66.

Clinical Experiences of Traumatic Intracranial Aneurysms

• Choi JW
• Joo SP

• KMID: 2192312
• DOI: http://doi.org/10.13004/jknts.2005.1.1.66

Abstract

Traumatic aneurysms of intracranial arteries are very infrequent. Seven cases of traumatic intracranial aneurysm are presented. Due to increasing use of brain CT to substitute angiogram during the initial surveys of head injury patients, traumatic aneurysms are often overlooked and the diagnosis delayed. But despite this rarity, the probability of rupture, combined with a readily available surgical cure, make early diagnosis imperative. Two located on the internal carotid artery, three on the anterior cerebral artery, one on the middle cerebral artery and one on the middle meningeal artery. Three of the 7 cases were associated with skull fracture. Six cases were treated: Three by clipping, two by trapping and one by excision & coagulation of the lesion. In this study, the authors tried to find out the clues for early diagnosis of traumatic intracranial aneurysms.

Keyword

Traumatic aneurysm; Pseudoaneurysm; Head injury

MeSH Terms

Aneurysm
Aneurysm, False
Anterior Cerebral Artery
Arteries
Brain
Carotid Artery, Internal
Craniocerebral Trauma
Diagnosis
Early Diagnosis
Humans
Intracranial Aneurysm*
Meningeal Arteries
Middle Cerebral Artery
Rupture
Skull Fractures