Amirjamshidi A, Rahmat H, Abbassioun K
Sina Hospital, Tehran University of Medical Sciences, Iran.
J Neurosurg. 1996 May;84(5):769-80. doi: 10.3171/jns.1996.84.5.0769.
In the early days of the war between Iran and Iraq, reports of the sudden deaths of soldiers who previously had survived a penetrating head injury suggested the possibility that a late complication, traumatic aneurysm (TA), could be the cause of this catastrophe. In response, the authors planned a prospective study to perform cerebral angiography in victims with penetrating head traumas, especially in those who had artillery shells or bone fragments passing through areas of dense vasculature. Thirty-one TAs and arteriovenous fistulas were documented. Not all of the lesions, however, were deemed appropriate for surgical intervention. Six aneurysms (19.4%) healed spontaneously and shrank or disappeared on repeated serial angiograms. The authors present their cases and discuss the incidence of TAs, their natural course and behavior, and the special problems encountered in managing these interesting and potentially fatal complications of penetrating head injuries.
在两伊战争初期，有报道称一些曾在穿透性颅脑损伤中幸存的士兵突然死亡，这表明可能存在一种晚期并发症——创伤性动脉瘤（TA），它可能是这场灾难的起因。作为回应，作者计划进行一项前瞻性研究，对穿透性颅脑创伤的受害者进行脑血管造影，尤其是那些有炮弹或骨碎片穿过密集血管区域的受害者。记录了31例创伤性动脉瘤和动静脉瘘。然而，并非所有病变都被认为适合手术干预。6例动脉瘤（19.4%）自发愈合，在多次连续血管造影中缩小或消失。作者展示了他们的病例，并讨论了创伤性动脉瘤的发病率、其自然病程和表现，以及在处理这些穿透性颅脑损伤中有趣且可能致命的并发症时遇到的特殊问题。
