Gjertsen O, Nakstad P Hj, Pedersen H Kr, Josefsen R
Department of Neuroradiology, Ullevål University Hospital and University of Oslo, Norway -
Interv Neuroradiol. 2007 Jun;13(2):167-71. doi: 10.1177/159101990701300207. Epub 2007 Sep 13.
Following a head trauma in a 40-year-old male, massive subarachnoid hemorrhage and fractures of the skull base/clivus was found at CT. CT angiography demonstrated an aneurysm on the proximal part of the right superior cerebellar artery. The aneurysm was successfully coiled without any complication and the patient improved clinically during the following three months. The decline in use of angiography in head trauma patients during the last two decades may lead to a lower detection of traumatic aneurysm than in previous times. The value of angiographic procedures in patients suffering head traumas with SAH and skull base fractures is therefore emphasized.
一名40岁男性头部外伤后,CT检查发现大量蛛网膜下腔出血及颅底/斜坡骨折。CT血管造影显示右小脑上动脉近端有一个动脉瘤。该动脉瘤成功栓塞,无任何并发症,患者在接下来的三个月临床症状改善。过去二十年中,头部外伤患者血管造影检查的使用减少,可能导致创伤性动脉瘤的检出率低于以往。因此,强调血管造影检查在伴有蛛网膜下腔出血和颅底骨折的头部外伤患者中的价值。