Document Detail


Traumatic intracranial aneurysms following penetrating stab wounds to the head: two unusual cases and review of the literature.
MedLine Citation:
PMID:  10697918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Two patients with rare complications of traumatic intracranial aneurysms following penetrating cranial stab wounds are described. One patient had a good outcome despite a secondary rupture of a traumatic proximal middle cerebral artery aneurysm, while the second patient had a traumatic basilar bifurcation artery aneurysm. To our knowledge neither the survival from a secondary rupture of a traumatic intracranial aneurysm, nor the development of a basilar bifurcation aneurysm secondary to a transcranial stab wound has been described previously. Furthermore, this is the first report of the technique of deep hypothermic cardiac arrest utilized to treat a traumatic false aneurysm. Traumatic intracranial aneurysms are a rare clinical entity, most often diagnosed after rupture and often resulting in fatal haemorrhage. A high index of suspicion needs to be maintained when managing patients with transcranial stab wounds. Early surgical intervention improves outcome by preventing initial aneurysmal rupture or rebleeding.
Authors:
N Nathoo; S S Nadvi
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Central African journal of medicine     Volume:  45     ISSN:  0008-9176     ISO Abbreviation:  Cent Afr J Med     Publication Date:  1999 Aug 
Date Detail:
Created Date:  2000-03-23     Completed Date:  2000-03-23     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0372566     Medline TA:  Cent Afr J Med     Country:  ZIMBABWE    
Other Details:
Languages:  eng     Pagination:  213-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Wentworth Hospital, Durban, South Africa. Nathoo@wwh.und.ac.za
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Ruptured / etiology*,  radiography,  surgery
Angiography, Digital Subtraction
Head Injuries, Penetrating / complications*
Heart Arrest, Induced
Humans
Intracranial Aneurysm / etiology*,  radiography,  surgery
Male
Tomography, X-Ray Computed
Wounds, Stab / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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