Traumatic aneurysm of the supraclinoid internal carotid artery-case report-.
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.
Ohba
Shigeo
S
Department of Neurosurgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan. shigeo.ohba@gmail.com
Kuroshima
Yoshiaki
Y
Mayanagi
Keita
K
Inamasu
Joji
J
Saito
Ryoichi
R
Nakamura
Yoshiki
Y
Ichikizaki
Kiyoshi
K
D000063:Accidents, Traffic; D001807:Blood Vessel Prosthesis; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology; D020215:Carotid Artery, Internal, Dissection / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation / Q000502:physiology; D002941:Circle of Willis / Q000033:anatomy & histology / Q000502:physiology; D004621:Embolization, Therapeutic / Q000379:methods*; D015600:Glasgow Coma Scale; D016489:Head Injuries, Closed / Q000000981:diagnostic imaging / Q000473:pathology; D006407:Hematoma, Epidural, Cranial / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods; D020205:Skull Fracture, Basilar / Q000000981:diagnostic imaging / Q000473:pathology; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult