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Journal of Korean Neurosurgical Society 1993;22(12): 1348-1356. |
| Traumatic Intracranial Aneurysms. |
| Se Hyuk Kim, Soo Han Yoon, Jin Yang Joo, Dong Ik Kim, Joong Uhn Choi, Kyu Chang Lee |
1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea. |
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| ABSTRACT |
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Five cases of traumatic intracranial aneurysm were presented. All of them were located at the cavernous segment of the internal carotid artery. These lesions were associated with basal skull fracture. Four cases were presented with massive epistaxis, and two of them required transfusion. All cases were treated successfully:four by detachable balloon occlusion of the proximal internal carotid artery and one by trapping of the lesion at the internal carotid artery. Because the mortality rate of ruptured traumatic aneurysm if high, clinical suspicion must be focused on prompt diagnostic work-up and early treatment. |
| Key Words:
Traumatic aneurysm; Pseudoaneurysm; Basal skull fracture; Epistaxis; Detachable balloon occlusion |
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