En-Nouali H, Akhaddar A, Mahi M, El Hassani M R, El Quessar A, Jiddane M
Service de Neuroradiologie, Hôpital des spécialités, ONO, CHU Ibn Sina, Rabat, Maroc.
J Neuroradiol. 2002 Dec;29(4):281-4.
The authors report a case of intracranial traumatic aneurysm at young a 21 years old patient. He presented with recurrent epistaxis 3 months after craniofacial trauma. An aneurysm of the left carotid artery was diagnosed at cerebral angiography. Endovascular treatment was performed with favorable outcome. In spite of their rarity, posttraumatic intracranial aneurysms should be suspected in patients with recent or remote history of trauma, even minor, presenting with secondary clinical deterioration, in order to carry out emergent angiographic exploration, before contemplating definitive surgical or endovascular treatment.
作者报告了一例21岁年轻患者的颅内创伤性动脉瘤病例。该患者在颅面创伤3个月后出现反复鼻出血。脑血管造影诊断为左颈动脉动脉瘤。进行了血管内治疗,效果良好。尽管创伤后颅内动脉瘤罕见,但对于近期或远期有创伤史(即使是轻微创伤)且出现继发性临床病情恶化的患者,应怀疑有创伤后颅内动脉瘤,以便在考虑确定性手术或血管内治疗之前进行紧急血管造影检查。