19 November 2021: Articles
Delayed Tentorial Subdural Hematoma Caused by Traumatic Posterior Cerebral Artery Aneurysm: A Case Report and Literature Review
Unusual clinical course
Michiyasu Fuga A* , Toshihide Tanaka C , Ryo Nogami B , Rintaro Tachi B , Akihiko Teshigawara A , Toshihiro Ishibashi A , Yuzuru Hasegawa D , Yuichi Murayama ADOI: 10.12659/AJCR.933771
Am J Case Rep 2021; 22:e933771
Table 1. Literature review of patients presenting with traumatic posterior cerebral artery aneurysm.
| Case | Authors | Age/Sex | Trauma mechanism | Neurological symptoms | Location | Size (mm) | Timing of TICA diagnosis | Presentation |
|---|---|---|---|---|---|---|---|---|
| 1 | Burton et al, 1968 []9 | 14/M | Car accident | Comatose | P4 | Pea-sized | 3 days | SAH |
| 2 | Jinkins et al, 1992 []10 | 25/M | Penetrating gunshot | Comatose | NR | NR | Within 48 h | NR |
| 3 | Rezai et al, 1994 []12 | 42/M | Pneumatic nail-gun | Comatose (GCS 6) | NR | NR | 1 day | SAH, IVH, hydrocephalus, CI |
| 4 | Casey et al, 1994 []11 | 24/M | Fall | Seizure | P2 | NR | 2 years | Mass deep to temporal lobe |
| 5 | Ciceri et al, 2001 []13 | 17/M | Car accident | CN III palsy | P1/P2 | NR | NR | NR |
| 6 | Ciceri et al, 2001 []13 | 13/M | Car accident | CN III palsy | P1/P2 | NR | NR | SAH |
| 7 | Morón et al, 2005 []14 | 6/M | Fall | Headache | P2 | 20 | 2 days | NR |
| 8 | Zhang et al, 2011 []15 | 13/F | Car accident | Partial aphasia and CN III palsy | P1/P2 | 4.6×10 | 17 days | SAH in suprasellar, ambiens and interpeduncular cisterns |
| 9 | Salehi et al, 2012 []16 | 11/M | Fall | Loss of consciousness, seizure | P2/P3 | 20×15 | 3 months | SAH, IVH (fourth ventricle), hydrocephalus |
| 10 | Ciochon et al, 2020 []6 | 30/M | Bicycle accident | Somnolent, generalized tonic-clonic seizure | P3/P4 | NR | 16 days | Parietal EDH, posterior tentorial and interhemispheric SDH |
| 11 | Present case | 42/M | Motorcycle accident | Altered mental status | P3 | 2.9×1.5 | 3 weeks | SDH along cerebellar tentorium |
| CI – cerebral infarction; CN – cranial nerve; CTA – computed tomography angiography; DSA – digital subtraction angiography; EDH – epidural hematoma; F – female; GCS – Glasgow Coma Scale; GOS – Glasgow Outcome Scale; IVH – intraventricular hemorrhage; M – male; MRI – magnetic resonance imaging; NR – not reported; PA – pseudoaneurysm; PAO – parent artery occlusion; P1 – precommunicating segment; P2 – postcommunicating segment; P3 – quadrigeminal segment; P4 – cortical segment; SAH – subarachnoid hemorrhage; SDH – subdural hematoma; TICA – traumatic intracranial aneurysm. | ||||||||
| Case | Authors | Findings on the body surface | Skull fracture | Initial imaging modality revealing TICA | Aneurysm type | Treatment | Outcome | Complications |
| 1 | Burton et al, 1968 []9 | NR | Presence | Non subtraction angiography | NR | Electrocautery | GOS 5 | NR |
| 2 | Jinkins et al, 1992 []10 | NR | NR | DSA | PA | None | Brain death | NR |
| 3 | Rezai et al, 1994 []12 | No external head trauma | NR | DSA | PA | Conservative | GOS 1 | NR |
| 4 | Casey et al, 1994 []11 | NR | Absence | Surgery | Fusiform | Proximal ligation | GOS 5 | None |
| 5 | Ciceri et al, 2001 []13 | NR | NR | NR | PA | Endovascular (coil embolization) | GOS 1 | None |
| 6 | Ciceri et al, 2001 []13 | NR | NR | NR | PA | Endovascular (coil embolization) | GOS 1 | None |
| 7 | Morón et al, 2005 []14 | Forehead contusion | NR | DSA | Thrombosed aneurysm | Spontaneous thrombosis | GOS 5 | NR |
| 8 | Zhang et al, 2011 []15 | NR | NR | MRI | NR | Endovascular (PAO + coil embolization) | GOS 5 | None |
| 9 | Salehi et al, 2012 []16 | NR | NR | MRI | PA | Endovascular (glue) | NR | Left-side hemiparesis |
| 10 | Ciochon et al, 2020 []6 | Forehead excoriation | Absence | DSA | PA | Endovascular (PAO + coil embolization) | GOS 3 | CI |
| 11 | Present case | Subcutaneous hematoma | Absence | CTA, MRI | PA | Endovascular (PAO) | GOS 5 | None |
| CI – cerebral infarction; CN – cranial nerve; CTA – computed tomography angiography; DSA – digital subtraction angiography; EDH – epidural hematoma; F – female; GCS – Glasgow Coma Scale; GOS – Glasgow Outcome Scale; IVH – intraventricular hemorrhage; M – male; MRI – magnetic resonance imaging; NR – not reported; PA – pseudoaneurysm; PAO – parent artery occlusion; P1 – precommunicating segment; P2 – postcommunicating segment; P3 – quadrigeminal segment; P4 – cortical segment; SAH – subarachnoid hemorrhage; SDH – subdural hematoma; TICA – traumatic intracranial aneurysm. | ||||||||