Traumatic Intracranial Aneurysms

Traumatic intracranial aneurysms are rare lesions that result from direct injury to the vessel wall. Much of our knowledge of such injuries has been derived from clinical experiences during wartime (143,144). Bullet and shrapnel penetrating the cranial vault are known to result in aneurysm formation, whether immediate or delayed. Injuries caused by lower-velocity foreign objects, such as knife wounds, as well as iatrogenic injury to intracranial vessels, have also been reported to result in aneurysmal formation (145-148). Even blunt head trauma can result in intracranial aneurysmal formation (149,150). Although it has been reported that approximately 20% of traumatic aneurysms resolve on their own (151), aggressive surgical management of these lesions is indicated.

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