Angiographische Verlaufsbeobachtung eines traumatischen, intracerebralen Aneurysmas

Schmidt-Vanderheyden, W.; Backmund, H.

doi:10.1007/bf00344623

Cited by 7 publications

(1 citation statement)

References 6 publications

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“…13,19,55,70 When a true TA ruptures and a newly formed clot is reshaped into a false TA located beside the previous one, this complex is called a mixed type of TA. 13 All of the TAs we observed were of the false type according to either the histopathological 13 or the angiographic 2,68 and surgical points of view. In our series, the primary angiographic characteristics of TAs were that: 1) they were usually located along the harboring vessel and not over the branching points; 2) they usually had an irregular contour; 3) the false neck of the aneurysms could be seemingly well identified on angiography; 4) they usually remained opaque in later phases of angiography; and 5) their rate of angiospasm was much less than in berry aneurysms, even after bleeding.…”

Section: Discussionmentioning

confidence: 88%

Traumatic aneurysms and arteriovenous fistulas of intracranial vessels associated with penetrating head injuries occurring during war: principles and pitfalls in diagnosis and management

Amirjamshidi¹,

Rahmat²,

Abbassioun³

1996

Journal of Neurosurgery

130

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In the early days of the war between Iran and Iraq, reports of the sudden deaths of soldiers who previously had survived a penetrating head injury suggested the possibility that a late complication, traumatic aneurysm (TA), could be the cause of this catastrophe. In response, the authors planned a prospective study to perform cerebral angiography in victims with penetrating head traumas, especially in those who had artillery shells or bone fragments passing through areas of dense vasculature. Thirty-one TAs and arteriovenous fistulas were documented. Not all of the lesions, however, were deemed appropriate for surgical intervention. Six aneurysms (19.4%) healed spontaneously and shrank or disappeared on repeated serial angiograms. The authors present their cases and discuss the incidence of TAs, their natural course and behavior, and the special problems encountered in managing these interesting and potentially fatal complications of penetrating head injuries.

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