de Oliveira Souza NV, Janot K, Dmytriw AA, Benalia VH, Mendes Pereira V. Traumatic occipital artery pseudoaneurysm: Case report, anatomical considerations, and literature review.
Interv Neuroradiol 2024:15910199241271062. [PMID:
39155574 PMCID:
PMC11569721 DOI:
10.1177/15910199241271062]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Accepted: 06/24/2024] [Indexed: 08/20/2024] Open
Abstract
We describe a case of a 22-year-old man with a traumatic occipital artery pseudoaneurysm revealed by a painful expanding neck hematoma after a penetrating knife injury. A neuroendovascular consultation was requested after a computed tomography angiogram showed active pseudoaneurysm bleeding. Anatomical considerations of the upper cervical region including dangerous anastomosis between the vertebral and internal carotid artery are discussed, illustrating how this impacted our treatment strategy. We also discuss other treatment modalities after a thorough literature review of traumatic occipital artery pseudoaneurysms.
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