Basilar artery pseudoaneurysm presenting at 5-month follow-up after traumatic atlanto-occipital dislocation in a 7-year-old girl treated with intracranial stent placement and coiling

J Neurointerv Surg. 2014 Jan;6(1):e8. doi: 10.1136/neurintsurg-2012-010573.rep. Epub 2013 Feb 11.

Abstract

Atlanto-occipital dislocation (AOD) is a grave injury that is rarely survivable. Patients who do survive often have long-term sequelae resulting from the intracranial damage sustained during the traumatic event. The high impact needed to cause AOD is translated to the intracranial vessels, which can lead to vascular injury. Pseudoaneurysm is one of the possible outcomes of damage to the vessel wall. We present a case of basilar artery pseudoaneurysm diagnosed 5 months after a traumatic AOD who was treated with intracranial stent placement and coiling.

Keywords: Aneurysm; Coil; Pediatrics; Stent; Trauma.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis
  • Aneurysm, False / etiology
  • Aneurysm, False / surgery*
  • Atlanto-Occipital Joint / injuries
  • Atlanto-Occipital Joint / pathology
  • Atlanto-Occipital Joint / surgery*
  • Basilar Artery / pathology
  • Basilar Artery / surgery*
  • Child
  • Endovascular Procedures / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Intracranial Aneurysm / diagnosis
  • Intracranial Aneurysm / etiology
  • Intracranial Aneurysm / surgery*
  • Joint Dislocations / complications
  • Joint Dislocations / diagnosis
  • Joint Dislocations / surgery*
  • Stents
  • Treatment Outcome