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Traumatic aneurysm occurring after surgical procedure of large cerebral aneurysm

Hayashi, A.; Oda, M.; Sekino, T.; Fujitsu, K.

No Shinkei Geka. Neurological Surgery 14(7): 881-885

1986

ISSN/ISBN: 0301-2603
PMID: 3762856
Document Number: 277708
A case of intracranial traumatic aneurysms occurring after surgical treatment of a large cerebral aneurysm is reported. A 56-year-old-man was admitted to our department with complaints of headache, nuchal pain and nausea. Left carotid angiography of (Lt-CAG) revealed a large aneurysm, measuring 20 mm in maximum diameter, of the azygos anterior cerebral artery. Successful clipping operation was performed on day 17 of subarachnoid hemorrhage. Unfortunately, small cortical branches were pulled out during the procedure from the right pericallosal artery. The postoperative Lt-CAG showed formation of two other aneurysms. Second operation was done on day 28 after the first operation. These aneurysms were located at the previously injured sites on the right pericallosal artery. From the history cited above, we diagnosed them as traumatic aneurysms. The second operation resulted in successful obliteration of these two traumatic aneurysms. Literature review yielded 25 similar cases, and the authors discussed the etiologic factors of the traumatic aneurysm due to surgical procedure.

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