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Chinese Journal of Neurotraumatic Surgery(Electronic Edition) ›› 2018, Vol. 04 ›› Issue (02): 106-109. doi: 10.3877/cma.j.issn.2095-9141.2018.02.010

Special Issue:

• Review • Previous Articles     Next Articles

Clinical diagnosis and treatment of traumatic intracranial aneurysms

Liang Tan1, Yin Niu1, Hongping Miao1, Zhouyang Jiang1, Gang Zhu1, Minhui Xu2, Zhi Chen1, Hua Feng1,()   

  1. 1. Department of Neurosurgery, Southwest Hospital, Third Military Medical University, Chongqing 400038, China
    2. Department of Neurosurgery, Daping Hospital, Third Military Medical University, Chongqing 400042, China
  • Received:2017-11-21 Online:2018-04-15 Published:2018-04-15
  • Contact: Hua Feng
  • About author:
    Corresponding author: Feng Hua, Email:

Abstract:

Traumatic intracranial aneurysms don’t belong to the common complications of traumatic brain injury, but its mortality rate is extremely high, which acts as an important cause of delayed death. The highest risk of traumatic intracranial aneurysm rupture was happened at 2-3 weeks after injury, probably it’s presented as sudden intracranial hemorrhage, subarachnoid hemorrhage or epistaxis. Early intracranial angiography was needed among the brain trauma patients suspected with aneurysm. As traumatic intracranial aneurysms are mainly pseudoaneurysms, lacking the complete vascular wall and neck are lacked, and their clinical treatment is different from the spontaneous aneurysms. In addition to the craniotomy, simple coil embolization, stent assisted coil embolization, covered stent and low porosity flow guide device mean to have been applied in the treatment of traumatic intracranial aneurysms. The risk factors pathogenesis, classification and treatment methods of traumatic intracranial aneurysm were reviewed, and the experiences of two cases of traumatic and iatrogenic intracranial aneurysms were shared in this paper.

Key words: Traumatic intracranial aneurysm, Traumatic brain injury, Surgery, Endovascular treatment

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