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.
Department of Neurosurgery, New York University Medical Center, NY 10016.
A R
AR
Rezai
M
M
Lee
C
C
Kite
D
D
Smyth
J J
JJ
Jafar
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