Case ReportStaged Trapping of Traumatic Basilar Trunk Pseudoaneurysm: Case Report and Review of Literature
Section snippets
Background
Intracranial aneurysms can be infectious, traumatic, or congenital in nature. Traumatic intracranial aneurysms (TICAs) account for <5% of all aneurysms in the pediatric population.1, 2 They can be a result of a penetrating or blunt head injury.3 Some iatrogenic cases have also been reported in children and adults after intracranial surgery.4, 5, 6, 7 TICAs are most commonly found in the anterior circulation8, 9, 10, 11, 12 and are histologically pseudoaneurysms. Their lack of an intact vascular
History and Examination
A 14-year-old boy presented in the emergency department after being a passenger in a high-velocity motor vehicle collision. The patient presented with a Glasgow Coma Scale of 6T with left hemiplegia. His head computed tomography showed multiple skull base fractures with underlying subarachnoid hemorrhage (SAH) in the posterior fossa (Figure 1). The skull fractures involved the cribriform plate, left orbital roof, sphenoid bone with extension into both carotid canals, and bilateral temporal bone
Discussion
To our knowledge, this is the first case report of a pediatric basilar trunk traumatic intracranial aneurysm (TICA) following a blunt trauma diagnosed on the day of admission. The reported incidence of TICAs is low compared with other types of aneurysms,9 and they are thought to represent <5% of all intracranial aneurysms in the pediatric population.1, 2, 29 TICAs have been described after a penetrating or blunt trauma. TICAs associated with a nonpenetrating trauma have been reported after a
References (39)
- et al.
Pseudoaneurysm of the internal carotid artery secondary to tonsillectomy
Int J Pediatr Otorhinolaryngol
(1987) - et al.
Traumatic intracranial aneurysm: a brief review
J Clin Neurosci
(2008) - et al.
Traumatic intracranial aneurysms in childhood: two cases and a review of the literature
Neurosurgery
(1988) - et al.
Pathomechanisms and treatment of pediatric aneurysms
Child's Nerv Syst
(2010) - et al.
Vascular lesions due to transcranial stab wounds
J Neurosurg
(1984) - et al.
Traumatic pericallosal artery aneurysm: a rare complication of transcallosal surgery. Case report
J Neurosurg
(2007) - et al.
Fusiform dilation of the carotid artery following radical resection of pediatric craniopharyngiomas: natural history and management
Neurosurg Focus
(2010) - et al.
Stent-assisted coiling treatment of pediatric traumatic pseudoaneurysm resulting from tumor surgery
Pediatr Neurosurg
(2011) - et al.
Intracranial aneurysms in children under 1 year of age: a systematic review of the literature
Child's Nerv Syst
(2006) - et al.
Intracranial aneurysms in childhood: 27-year single- institution experience
AJNR Am J Neuroradiol
(2009)
Pediatric intracranial aneurysms-clinical characteristics and outcome of surgical treatment
Child's Nerv Syst
Traumatic intracranial aneurysms in childhood and adolescence. Case reports and review of the literature
Child's Nerv Syst
Clinical and imaging features of intracranial arterial aneurysms in the pediatric population
Radiographics
Pediatric traumatic intracranial aneurysms
Pediatr Neurosurg
Delayed post-traumatic saccular aneurysm of PICA in an adolescent
Acta Neurochir (Wien)
Traumatic false aneurysm of the superior cerebellar artery simulating posterior fossa tumor
J Neurosurg
A case report of a pediatric traumatic aneurysm with arteriovenous (A-V) fistula CASE-BASED UPDATE
Child's Nerv Syst
Traumatic basilar pseudoaneurysm with a basilar-cavernous arteriovenous fistula
Neuroradiology
Basilar artery pseudoaneurysm presenting at 5-month follow-up after traumatic atlanto-occipital dislocation in a 7-year-old girl treated with intracranial stent placement and coiling
J Neurointerv Surg
Cited by (6)
Occult posterior inferior cerebellar artery dissection requiring endovascular treatment following pediatric head trauma: Case report
2021, Journal of Neurosurgery: PediatricsIntracranial Pseudoaneurysms: Evaluation and Management
2020, Frontiers in Neurology
Conflict of interest statement: The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or nonfinancial interest in the subject matter or materials discussed in this manuscript. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.