Traumatic Intracranial Aneurysm Presenting with Delayed Subarachnoid Hemorrhage

  • Kim, Jae-Hoon (Department of Neurosurgery, Eulji General Hospital College of Medicine) ;
  • Kim, Jae-Min (Department of Neurosurgery, Hanyang University Guri Hospital College of Medicine) ;
  • Cheong, Jin-Hwan (Department of Neurosurgery, Hanyang University Guri Hospital College of Medicine) ;
  • Kim, Choong-Hyun (Department of Neurosurgery, Hanyang University Guri Hospital College of Medicine)
  • Published : 2007.05.30

Abstract

Traumatic intracranial aneurysm rarely occurs after a head injury. The authors report a case of a 51-year-old man in whom subarachnoid hemorrhage was developed as a result of delayed traumatic aneurysmal rupture of the distal portion of the middle cerebral artery following a minor, closed-head injury. The unruptured aneurysm had been evident on the magnetic resonance image taken two days prior to onset of the subarachnoid hemorrhage. The clinical presentation and possible underlying mechanism are discussed with a review of pertinent literature.

Keywords

References

  1. Asari S, Nakamura S, Yamada O, Beck H, Sugatani H, Higashi T : Traumatic aneurysm of peripheral cerebral arteries. Report of two cases. J Neurosurg 46 : 795-803, 1977 https://doi.org/10.3171/jns.1977.46.6.0795
  2. Bavinzski G, Killer M, Knosp E, Ferraz-Leite H, Gruber A, Richling B : False aneurysms of the intracavernous carotid artery. Report of 7 cases. Acta Neurochir (Wien) 139 : 37-43, 1997 https://doi.org/10.1007/BF01850866
  3. Buckingham MJ, Crone KR, Ball WS, Tomsick TA, Berger TS, Tew JM Jr : Traumatic intracranial aneurysms in childhood. two cases and a review of the literature. Neurosurgery 22 : 398-408, 1988 https://doi.org/10.1227/00006123-198802000-00022
  4. Burton C, Velasco F, Dorman J : Traumatic aneurysm of a peripheral cerebral artery. Review and case report. J Neurosurg 28 : 468-474, 1968 https://doi.org/10.3171/jns.1968.28.5.0468
  5. Chedid MK, Vender JR, Harrison SJ, McDonnell DE : Delayed appearance of a traumatic intracranial aneurysm. Case report and review of the literature. J Neurosurg 94 : 637-641, 2001 https://doi.org/10.3171/jns.2001.94.4.0637
  6. Cohen JE, Rajz G, Itshayek E, Shoshan Y, Umansky F, Gomori JM : Endovascular management of traumatic and iatrogenic aneurysms of the pericallosal artery. Report of two cases. J Neurosurg 102 : 555-557, 2005 https://doi.org/10.3171/jns.2005.102.3.0555
  7. Drake CG, Peerless SJ, Ferguson GG : Hunterian proximal arterial occlusion for giant aneurysms of the carotid circulation. J Neurosurg 81 : 656-665, 1994 https://doi.org/10.3171/jns.1994.81.5.0656
  8. Fleischer AS, Patton JM, Tindall GT : Cerebral aneurysms of traumatic origin. Surg Neurol 4 : 233-239, 1975
  9. Guibert J : Anevrisme arteriel de la carotide interne au niveau du sinus carverneux gauche : communication avec le sinus sphenoidal droit ; hemorrhagies nasales ; mort, autopsie. Ann Ocul 113 : 314-318, 1895
  10. Han MH, Sung MW, Chang KH, Min YG, Han DH, Han MC : Traumatic pseudoaneurysm of the intracavernous ICA presenting with massive epistaxis. imaging diagnosis and endovascular treatement. Laryngoscope 104 : 370-377, 1994
  11. Holmes B, Harbaugh RE : Traumatic intracranial aneurysms : a contemporary review. J Trauma 35 : 855-860, 1993 https://doi.org/10.1097/00005373-199312000-00009
  12. Kieck CF, de Villiers JC : Vascular lesions due to transcranial stab wounds. J Neurosurg 60 : 42-46, 1984 https://doi.org/10.3171/jns.1984.60.1.0042
  13. Kim DW, Hong HJ, Yi HJ, Ko Y : Ruptured pseudoaneurysm after minor head injury, is it traumatic? J Korean Neurosurg Soc 35 : 324- 327, 2004
  14. Murakami M, Kakita K, Hosokawa Y : Ruptured traumatic aneurysm after trival injury mimicking acute spontaneous subdural hematoma. case report. Neurol Med Chir (Tokyo) 43 : 130-133, 2003 https://doi.org/10.2176/nmc.43.130
  15. Norris JS, Wallace MC : Pediatric intracranial aneurysms. Neurosurg Clin N Am 9 : 557-563, 1998
  16. Parkinson D, West M : Traumatic intracranial aneurysms. J Neurosurg 52 : 11-20, 1980 https://doi.org/10.3171/jns.1980.52.1.0011