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Infective and traumatic aneurysms

M Kumar1, N D Kitchen

  • 1University Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, United Kingdom.

Neurosurgery Clinics of North America
|July 21, 1998
PubMed
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Traumatic intracranial aneurysms are rare but critical in penetrating head injuries. Most are false aneurysms requiring surgical intervention like excision or trapping.

Area of Science:

  • Neurosurgery
  • Trauma Surgery
  • Vascular Surgery

Background:

  • Traumatic intracranial aneurysms (TIAs) are uncommon vascular lesions.
  • They are associated with penetrating head trauma, including low-velocity gunshot and stab wounds.
  • Distinguishing TIAs from other intracranial pathologies is crucial for appropriate management.

Purpose of the Study:

  • To highlight the importance of considering TIAs in penetrating head injuries.
  • To discuss the diagnostic considerations and management strategies for TIAs.
  • To emphasize the high prevalence of false aneurysms in this context.

Main Methods:

  • Review of clinical cases and literature on traumatic intracranial aneurysms.
  • Analysis of injury mechanisms associated with TIA development.

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  • Discussion of surgical and interventional treatment options.

    • Main Results:

    • Traumatic intracranial aneurysms are frequently associated with penetrating head trauma.
    • The majority of these aneurysms are classified as false aneurysms.
    • Surgical intervention is often necessary for effective treatment.

    Conclusions:

    • Traumatic intracranial aneurysms necessitate consideration in patients with penetrating head injuries.
    • False aneurysms are the predominant type, often requiring surgical excision or trapping.
    • Prompt diagnosis and management are essential to prevent complications.