Traumatic Cerebral Aneurysm -- Surgical Manafement and mportance of Post-Traumatic Cerebral Angiography Before Delayed Rupture --

We report rare case of traumatic cerebral aneurysm. A 36-year-old man fell and struck the right pariental region of his head. He lost consciousness for 10 min but had no neurological deficits on admission. CT scan revealed right acute subdural hematoma. On the eighth day, we anticipativery performed precautionary cerebral angiography, which ahowed a traumatic cerebral aneurysm on the peripheral branch of the right middle cerebral artery. This aneurysm was cured by microneurosurgery and the patient was discharged without deficits. The most important aspect of the present case was the aneurysm was discovered in advance by cerebral angiography and cured by microneurosurgery. We review previous cases of traumatic cerebral aneurysm and discuss the importance of cerebral angiography after head injury and the surgical management of traumatic cerebral aneurysm.

Cerebral angiography

False aneurysm

Head injury

Neurosurgery

Traumatic Cerebral aneurysm