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Traumatic cervical vertebral artery aneurysm associated with suicidal stabs
Senshu Nonaka1, Hidenori Oishi2, Satoshi Tsutsumi1
1Department of Neurosurgery, Juntendo University Urayasu Hospital, Chiba, Japan.
Surgical Neurology International
|October 8, 2021
Summary
Penetrating neck injuries can cause vertebral artery (VA) aneurysms. Careful presurgical evaluation is crucial for managing these rare traumatic VA aneurysms.
Area of Science:
- Vascular Surgery
- Neurosurgery
- Trauma Surgery
Background:
- Cervical vertebral artery (VA) aneurysms are rare, often linked to penetrating injuries.
- Established treatment strategies for traumatic VA aneurysms remain undetermined.
Observation:
- A 50-year-old woman with bipolar disorder sustained a penetrating neck injury.
- Initial imaging revealed unclear delineation of the right VA; subsequent CT confirmed a right VA aneurysm at C4/5 with arteriovenous shunts.
Findings:
- The patient underwent successful coil embolization of the affected VA segment.
- The procedure was complicated by cerebellar ataxia secondary to procedure-associated infarction.
Implications:
- Traumatic vertebral artery aneurysms necessitate meticulous presurgical assessment.
- Comprehensive evaluation of cranial and spinal structures is vital for optimal management of these injuries.