Korean J Neurotrauma.  2014 Oct;10(2):130-133. 10.13004/kjnt.2014.10.2.130.

Short-Term Clinical and Angiographic Outcome in Child with Traumatic Pseudoaneurysm in A2 Segment of Anterior Cerebral Artery after Endovascular Treatment: Case Report

• Kim SS
• Kang DH
• Park H
• Lee CH
• Hwang SH
• Jung JM
• Han JW
• Park IS

• KMID: 2256247
• DOI: http://doi.org/10.13004/kjnt.2014.10.2.130

Abstract

Intracranial traumatic pseudoaneurysms are rare, and their vessel structures are immature and easy to disrupt, especially in children. Furthermore, it is difficult to diagnose and treat, which is a characteristic of traumatic pseudoaneurysm. In this study, the authors described a traumatic pseudoaneurysm in A2 segment of anterior cerebral artery, and the treatment with stent for structural stability of vessel.

Keyword

Carotid artery injuries; Intracranial aneurysm; Hematoma subdural; Stents

MeSH Terms

Aneurysm, False*
Anterior Cerebral Artery*
Carotid Artery Injuries
Child*
Humans
Intracranial Aneurysm
Stents

Figure

• 

  FIGURE 1 On initial brain computed tomography, a small amount of acute subdural hematoma (SDH) and anterior falx SDH were seen on the right convexity.

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  FIGURE 2 Follow-up computed tomography, which was performed 1 week after the initial trauma, was shown to be clear of hemorrhage.

• 

  FIGURE 3 Ten days after initial trauma, follow-up brain computed tomography showed a reappearance of convexity and falx subdural hematoma with severe and diffuse brain swelling.

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  FIGURE 4 Eleven days after the initial trauma, endovascular embolization was performed.

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  FIGURE 5 On 1 year postoperative follow-up angiography, there was no recanalization at embolized traumatic pseudoaneurysm.

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