Traumatic vertebral artery aneurysm following blunt suboccipital trauma

C. T. Chiang, Y. S. Yeh, Y. L. Lo, T. C. Hsieh, Shun Tai Yang

研究成果: 雜誌貢獻文章

1 引文 斯高帕斯(Scopus)

摘要

Traumatic vertebral artery (VA) injury has been neglected and mistaken to be innocuous. Herein, we present a rare case with a as subarachnoid hemorrhage (SAH) following blunt suboccipital trauma. Initially, it was mistaken as a saccular aneurysm and was just coincident with traumatic SAH. Surgical clipping was performed by our senior neurosurgeon and looked secure. But massive bleeding occurred before complete closure of the dura wound. Opening the wound again, blood gushed out from the junction of the aneurysm and the parent artery. Because preoperative angiography evaluation had revealed good collateral flow from the contralateral VA, the involved segment of VA was trapped. The patient recovered well with uneventful course. Blunt suboccipital trauma may result in traumatic VA injury which may cause catastrophic complications if neglected. The incidence, risk factors, the pathophysiology of traumatic VA aneurysm, and the treatments are reviewed.

原文英語
頁(從 - 到)177-180
頁數4
期刊VASA. Zeitschrift für Gefässkrankheiten. Journal for vascular diseases
38
發行號2
DOIs
出版狀態已發佈 - 2009

    指紋

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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