Document Detail

Traumatic extracranial pseudoaneurysm on the peripheral ophthalmic artery presenting as delayed intraparenchymal hematoma: case report.
MedLine Citation:
PMID:  18313737     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Extracranial pseudoaneurysm is barely noticed after head injury, and therefore, recognizing such sequels is amenable when there is severe initial injury, unexplained intracranial bleeding, or neurologic sequelae. We report such an unexpected case of intraorbital pseudoaneurysm presenting as delayed intraparenchymal hemorrhage. CASE DESCRIPTION: A 71-year-old man with traumatic brain injury sustained delayed intraparenchymal hemorrhage after unremarkable surgical evacuation. Suspicious intraorbital mass was shown adjacent to the fracture line of medial orbital wall. Catheter angiogram revealed peripheral, extracranial ophthalmic artery pseudoaneurysm, and endovascular occlusion was attempted. The patient made gradual recovery with radiographic evidence of disappeared pseudosac and resolved intracranial hematoma. CONCLUSION: Traumatic aneurysm of peripheral ophthalmic artery should be strongly suspected when there is skull fracture at the orbital wall or persistent or delayed intraparenchymal hemorrhage despite proper surgical hematoma evacuation, and in such case, swift endovascular occlusion can be done safely.
Hyoung-Joon Chun; Hyeong-Joong Yi
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-03-03
Journal Detail:
Title:  Surgical neurology     Volume:  71     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-11     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-4     Citation Subset:  IM    
Department of Neurosurgery, Hanyang University Medical Center, Seoul 133-792, South Korea.
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MeSH Terms
Aneurysm, False / diagnosis*,  etiology*,  surgery
Cerebral Hemorrhage, Traumatic / diagnosis*,  etiology*,  surgery
Ophthalmic Artery*
Skull Fractures / complications*,  diagnosis,  surgery

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