caa a22 4500 463179994 CHVBK 20180406164836.0 cr unu---uuuuu 170326e20070301xx s 000 0 eng 10.1007/s00381-006-0269-2 doi (NATIONALLICENCE)springer-10.1007/s00381-006-0269-2 Delayed rupture of traumatic aneurysm after civilian craniocerebral gunshot injury in children [Elektronische Daten] [M. Hachemi, C. Jourdan, C. Di Roio, F. Turjman, A. Ricci-Franchi, C. Mottolese, F. Artru] Background: There are few published large series on civilian craniocerebral gunshot injuries in children. Traumatic intracranial aneurysms (TICAs) are rare and highly unstable lesions. They represent less than 1% of all aneurysms and can either rupture within minutes after formation or remain quiescent for several weeks or years, manifesting with delayed hemorrhage and neurologic deterioration. Case history: We report the case of a 10-year-old girl who was referred for coma after high-velocity craniocerebral gunshot wound and neurological deterioration 7days after the initial injury. A massive right posterior occipital hematoma caused by the rupture of an unsuspected right posterior cerebral artery TICA was discovered. TICA was treated by coil embolization, with a good neurological recovery at 6-month follow-up. Discussion: We discuss the pathogenesis and the management of TICA in a child after civilian craniocerebral gunshot injuries. Conclusions: TICAs should be suspected in patients with civilian craniocerebral gunshot injuries, presenting with secondary neurological deterioration, to carry out emergent CT scan and angiographic exploration before contemplating definitive endovascular treatment. Endovascular management may be a prompt safe-to-use technique and a valuable option, especially when surgery is highly risky. Springer-Verlag, 2006 Traumatic aneurysm nationallicence Civilian craniocerebral gunshot injury nationallicence Pediatrics nationallicence Endovascular treatment nationallicence High-velocity missile injury nationallicence Hachemi M. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Jourdan C. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Di Roio C. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Turjman F. Department of Neuroradiology, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Ricci-Franchi A. Department of Neurosurgery B, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Mottolese C. Department of Neurosurgery B, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Artru F. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut Child's Nervous System Springer-Verlag 23/3(2007-03-01), 283-287 0256-7040 23:3<283 2007 23 381 https://doi.org/10.1007/s00381-006-0269-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00381-006-0269-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hachemi M. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Jourdan C. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Di Roio C. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Turjman F. Department of Neuroradiology, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Ricci-Franchi A. Department of Neurosurgery B, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Mottolese C. Department of Neurosurgery B, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 700 1- Artru F. Department of Anesthesia, Hôpital Neurologique et Neurochirurgical P. Wertheimer, 69677, Bron Cedex, France aut NATIONALLICENCE 773 0- Child's Nervous System Springer-Verlag 23/3(2007-03-01), 283-287 0256-7040 23:3<283 2007 23 381 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer