Sequelae of Damage to Extra-Intracranial Arteries Following Head Injury

Abstract:False aneurysm of the intracranial arteries occurs infrequently as a complication of head injury and rarely as a consequence of other pathology. A case of false aneurysm of the supraclinoid internal carotid artery following minor intraoperative injury during clipping of a basilar-superior cerebellar aneurysm by the pterional approach is described. False aneurysm is a potential cause of recurrent intracranial hemorrhage after successful aneurysm clipping. Arterial bleeding which appears to come from the region of a branch origin should be viewed with concern even if it subsides spontaneously.

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Sequelae of Damage to Extra-Intracranial Arteries Following Head Injury

Functional Rehabilitation in Neurosurgery and Neurotraumatology ◽

10.1007/978-3-7091-6105-0_40 ◽

2002 ◽

pp. 139-139

Author(s):

F. A. Serbinenko ◽

A. G. Lysachev ◽

L. B. Likhterman ◽

A. A. Potapov ◽

A. D. Kravtchouk

Keyword(s):

Head Injury ◽

Intracranial Arteries

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Intracranial arterial narrowing and spasm in acute head injury

Journal of Neurosurgery ◽

10.3171/jns.1972.36.3.0314 ◽

1972 ◽

Vol 36 (3) ◽

pp. 314-323 ◽

Cited By ~ 105

Author(s):

Charas Suwanwela ◽

Nitaya Suwanwela

Keyword(s):

Head Injury ◽

Clinical Symptoms ◽

Cerebral Arteries ◽

Gunshot Wounds ◽

Cerebral Contusion ◽

Content Type ◽

Acute Head Injury ◽

Middle Cerebral Arteries ◽

Intracranial Arteries ◽

Vascular Spasm

✓ Arteriography in 350 patients with a moderate to severe head injury, including repeated studies in 40 patients, revealed narrowing of one or more of the intracranial arteries in 65 patients (18.6%). Narrowing of the intracranial portion of the internal carotid artery and the first part of the anterior and middle cerebral arteries was found in 18 patients and was believed to be responsible for the clinical symptoms in some. Narrowing of the branches of the cerebral arteries at the site of the cerebral contusion was seen in 33 patients and diffuse narrowing of the intracranial arteries in 12. In two additional patients with gunshot wounds of the brain, there was narrowing of the cerebral artery adjoining a torn vessel. The evidence suggests that vascular spasm is responsible for the narrowing in some patients, while contusion and hemorrhage in the arterial wall is the cause in others. Whatever the mechanism, the occurrence and significance of cerebral arterial narrowing in association with acute head injury needs to be emphasized.

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