Rezai A R, Lee M, Kite C, Smyth D, Jafar J J
Department of Neurosurgery, New York University Medical Center, NY 10016.
Surg Neurol. 1994 Oct;42(4):312-5. doi: 10.1016/0090-3019(94)90399-9.
We present the case of a traumatic posterior cerebral artery aneurysm from a self-inflicted pneumatic nail-gun missile injury through the roof of the mouth. The patient presented to us in a coma with subarachanoid and intraventricular hemorrhage. Cerebral angiography revealed an aneurysm of the left posterior cerebral artery with no distal filling. The patient died 6 days after admission. At autopsy, a pseudoaneurysm of the posterior cerebral artery was seen. This aneurysm resulted from direct disruption of the arterial wall by the intracranial nail.
我们报告一例因自伤性气钉枪子弹经口腔顶部射入导致的创伤性大脑后动脉动脉瘤病例。患者以昏迷状态、蛛网膜下腔和脑室内出血就诊于我院。脑血管造影显示左侧大脑后动脉动脉瘤，无远端充盈。患者入院6天后死亡。尸检时，可见大脑后动脉假性动脉瘤。该动脉瘤是由颅内钉子直接损伤动脉壁所致。
