Hostname: page-component-6d856f89d9-76ns8 Total loading time: 0 Render date: 2024-07-16T08:13:43.211Z Has data issue: false hasContentIssue false
  • English
  • Français

Iatrogenic False Aneurysm Following Repair of Intracranial Aneurysm

Published online by Cambridge University Press:  18 September 2015

David W. Rowed  and
Beverly C. Walters
David W. Rowed*
Affiliation:
Division of Neurosurgery, Sunnybrook Health Science Centre, University of Toronto, Toronto
Beverly C. Walters
Affiliation:
Division of Neurosurgery, Sunnybrook Health Science Centre, University of Toronto, Toronto
*
Head, Division of Neurosurgery, Suite A 134, Sunnybrook Health Science Centre, 2075 Bayview Avenue, North York, Ontario, Canada M4N 3M5
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

False aneurysm of the intracranial arteries occurs infrequently as a complication of head injury and rarely as a consequence of other pathology. A case of false aneurysm of the supraclinoid internal carotid artery following minor intraoperative injury during clipping of a basilar-superior cerebellar aneurysm by the pterional approach is described. False aneurysm is a potential cause of recurrent intracranial hemorrhage after successful aneurysm clipping. Arterial bleeding which appears to come from the region of a branch origin should be viewed with concern even if it subsides spontaneously.

Résumé:

Résumé:

Faux anévrisme iatrogénique après chirurgie pour anévrisme intracrânien. Un faux anévrisme des artères intracraniennes est une complication rare d’un traumatisme crânien ou suite à une autre pathologie. Nous décrivons un cas de faux anévrisme de la portion supraclinoïde de la carotide interne suite à un traumatisme mineur pendant une chirurgie pour clipper un anévrisme de l’artère basilaire cérébelleuse supérieure par voie ptérionale. Un faux anévrisme est une cause potentielle d’hémorragie intracrânienne récidivante suite au clippage d’un anévrisme. Un saignement artériel qui semble provenir de la région d’une bifurcation est un signal d’alarme, même s’il s’arrête spontanément.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 21 , Issue 4 , November 1994 , pp. 346 - 349
Copyright
Copyright © Canadian Neurological Sciences Federation 1994

References

REFERENCES

1. Ferry, DJ, Kempe, LG. False aneurysm secondary to penetration of the brain through orbitofacial wounds. Report of two cases. J Neurosurg 1972; 36:503–506.Google Scholar
2. Cockrill, HH, Jimenez, JP, Goree, JA. Traumatic false aneurysm of the superior cerebellar artery simulating posterior fossa tumor. Case report. J Neurosurg 1977; 46: 377–380.CrossRefGoogle Scholar
3. Meguro, K, Rowed, DW. Traumatic aneurysm of the posterior inferior cerebellar artery caused by fracture of the clivus. Neurosurgery 1985; 16:666–668.Google Scholar
4. Sedzimir, CB, Occleshaw, JV, Buxton, PH. False cerebral aneurysm. Case report. J Neurosurg 1968; 29: 636–639.Google Scholar
5. Smith, DR, Kempe, LG. Cerebral false aneurysm formation in closed head trauma. Case report. J Neurosurg 1970; 32: 357–359.Google Scholar
6. Smith, KR, Bardenheier, JA. Aneurysm of (he pericallosal artery caused by closed cranial trauma. Case report. J Neurosurg 1968; 29:551–554.CrossRefGoogle Scholar
7. Cosgrove, GR, Villemure, JG, Melancon, D. Traumatic intracranial aneurysm due to arterial injury at surgery. Case report. J Neurosurg 1983; 58:291–294.Google Scholar
8. Alexander, E, Adams, JE, Davis, CH. Complications in the use of temporary intracranial aneurysm clip. J Neurosurg 1963; 20: 810–811.CrossRefGoogle Scholar
9. Reina, A, Seal, RB. False cerebral aneurysm associated with metastatic carcinoma of the brain. Case report. J Neurosurg 1974; 41:380–382.CrossRefGoogle ScholarPubMed
10. Weir, B, MacDonald, N, Mielke, B. Intracranial vascular complications of choriocarcinoma. Neurosurgery 1978; 2: 138–142.Google Scholar
11. Overton, MC, Calvin, TH. Iatrogenic cerebral cortical aneurysm. Case Report. J Neurosurg 1966; 24: 672–675.Google Scholar
12. Lassman, LP, Ramani, PS, Sengupta, RP. Aneurysms of peripheral cerebral arteries due to surgical trauma. Vase Surg 1974; 8: 1–5.Google Scholar
13. Taylor, PE. Delayed postoperative hemorrhage from intracranial aneurysm after craniotomy for tumour. Neurology. Minneap 1961; 11:225–231.Google Scholar
14. Yamaura, A, Makino, H, Hachisu, H, et al. Secondary aneurysm due to arterial injury. Surg Neurol 1978; 10: 327–333.Google Scholar
15. Parkinson, D, West, M. Traumatic intracranial aneurysm. J Neurosurg 1980; 52: 11–20.Google Scholar
16. Raimondi, AJ, Yashon, D, Reyes, C, et al. Intracranial false aneurysms. Neurochirurgia (Stuttg) 1968; 11: 219–233.Google Scholar
17. Samson, DS, Hodosh, RM, Clark, WK. Microsurgical evaluation of the pterional approach to aneurysms of the distal basilar circulation. Neurosurgery 1978; 3: 135–141.CrossRefGoogle ScholarPubMed
18. Yasargil, MG, Antic, J, Laciga, R, et al. Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol 1976; 6:83–91.Google Scholar
19. Cressman, MR, Haynes, GJ. Traumatic aneurysm of the anterior choroidal artery. Case report. J Neurosurg 1966; 24: 102–104.Google Scholar
20. Higazi, I, El-Banhawy, A, El-Nady, F. Importance of angiography in identifying false aneurysm of the middle meningeal artery as a cause of extradural hematoma. Case report. J Neurosurg 1969; 30: 172–176.Google Scholar
21. Wortzman, G, Tucker, WS, Gershater, R. Traumatic aneurysm in the posterior fossa. Surg Neurol 1980; 13: 329–332.Google Scholar
22. White, JC, Sayre, GP, Whisnant, JP. Experimental destruction of the media for the production of intracranial aneurysms. J Neurosurg 1961; 18: 741–745.Google Scholar
23. Drake, CG. Subdural hematoma from arterial rupture. J Neurosurg 1961; 18:597–601.Google Scholar
24. Krendel, DA, Ditter, SM, Frankel, MR, et al. Biopsy-proven cerebral vasculitis associated with cocaine abuse. Stroke 1990; 21: 1648.Google Scholar