Traumatic posterior cerebral artery aneurysm secondary to an intracranial nail: case report.
We present the case of a traumatic posterior cerebral artery aneurysm from a self-inflicted pneumatic nail-gun missile injury through the roof of the mouth. The patient presented to us in a coma with subarachanoid and intraventricular hemorrhage. Cerebral angiography revealed an aneurysm of the left posterior cerebral artery with no distal filling. The patient died 6 days after admission. At autopsy, a pseudoaneurysm of the posterior cerebral artery was seen. This aneurysm resulted from direct disruption of the arterial wall by the intracranial nail.
Rezai
A R
AR
Department of Neurosurgery, New York University Medical Center, NY 10016.
Lee
M
M
Kite
C
C
Smyth
D
D
Jafar
J J
JJ
D000328:Adult; D001930:Brain Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D005547:Foreign Bodies / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D010159:Palate / Q000293:injuries; D011859:Radiography; D014950:Wounds, Penetrating / Q000150:complications* / Q000000981:diagnostic imaging