Treatment of unusually located traumatic intracranial aneurysms and severe vasospasm following a gunshot wound to the head: A case report.

Conclusion: While the literature has shifted towards endovascular treatment for TICAs, surgery still offers a safe and efficacious treatment strategy especially when TICAs present at large vessel bifurcation points where parent vessel sacrifice and stent assisted coiling are less favorable strategies. Severe flow limiting vasospasm can be seen in post-traumatic setting specifically PBI. Vasospasm can be treated during open surgery with intracisternal papaverine and arterial soft dissection as confirmed in this case report with intraoperative micro-flow probe measurements. PMID: 32363052 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research