Skip to main content
SpringerLink
Log in

Two cases with giant pseudo-aneurysm of vertebral artery secondary to shrapnel injury

  • Case Report
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Introduction

Due to their locations, vertebral arteries (VA) are structures that are rarely injured after traumas. Formation of vertebral pseudo-aneurysm (PA) because of pieces of shrapnel is also rare. It causes clinical findings like cervical mass after the injury

Cases presentation

Two Syrian 12- and 17-year-old male patients were admitted to the Department of Ear, Nose and Throat with the complaint of swelling in the left lower cervical region. In their USG examination which was ordered to investigate the cervical lesion, a lesion consistent with PA which shows a prominently thick wall structure due to circumferential thrombus formation and fibrotic tissue, chaotic flow, and ying-yang appearance in the centrally located cavity of the lesion in a color Doppler examination was detected. Later, multi-detector computed tomography angiography (MDCTA) was planned to demonstrate pseudo-aneurysms (PAs).

Conclusion

Because there was no report on the development of giant pseudo-aneurysms secondary to shrapnel injury to date and because we thought these cases are demonstrative, we found the cases suitable for presenting as case reports.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Inamasu J, Guiot BH (2005) Iatrogenic vertebral artery injury. Acta Neurol Scand 112:349–357

    Article  CAS  PubMed  Google Scholar 

  2. Sancak T, Bilgic S, Ustuner E (2008) Endovascular stent-graft treatment of a traumatic vertebral artery pseudoaneurysm and vertebrojugular fistula. Korean J Radiol 9:S68–S72

    Article  PubMed  PubMed Central  Google Scholar 

  3. Tekiner A, Gokcek C, Bayar MA, et al. (2011) Spontaneus resolution of a traumatic vertebral artery pseudoaneurysm. Turk Neurosurg 21(1):90–93

    PubMed  Google Scholar 

  4. Mwipatayi BP, Jeffery P, SJ B, et al. (2004) Management of extra-cranial vertebral artery injuries. Eur J Vasc Endovasc Surg 27(2):157–162

    Article  CAS  PubMed  Google Scholar 

  5. Khoie B, Kuhls DA, Agrawal R, et al. (2009) Penetrating vertebral artery pseudoaneurysm: a novel endovascular stent graft treatment with artery preservation. J Traumatol 67(3):E78–E81

    Google Scholar 

  6. Nason RW, Assuras GN, Gray PR, et al. (2001) Penetrating neck injuries: analysis of experience from a Canadian trauma centre. Can J Surg 44:122–126

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Mahmoud M, Roshdi E, Benderbous D (2012) Traumatic pseudoaneurysms of the common carotid and vertebral artery in a four-year-old child. Interv Neuroradiol 18(3):348–352

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Beena NV, Kishore MS, Mahale A, et al. (2007) Pseudoaneurysm of the internal carotid artery. Indian J Pediatr 74:307–309

    Article  CAS  PubMed  Google Scholar 

  9. Cihangiroglu M, Rahman A, Yildirim H, et al. (2002) Iatrogenic vertebral artery pseudoaneurysm: US, CT and MRI findings. Eur J Radiol 43(1):14–18

    Article  PubMed  Google Scholar 

  10. Coulter I, Shanmuganathan M, Fouyas I, et al. (June 2011) A traumatic pseudoaneurysm of the vertebral artery. Br J Neurosurg 25(3):430–431

  11. Stavrinou LC, Stranjalis G, Stavrinou PC, et al. (2010) Extracranial vertebral artery aneurysm presenting as a chronic cervical mass lesion. Case Rep Med 2010:938219. doi:10.1155/2010/938219

    PubMed  PubMed Central  Google Scholar 

  12. Herrera DA, Vargas SA, Dublin AB (2008) Endovascular treatment of traumatic injuries of the vertebral artery. AJNR Am J Neuroradiol 29(8):1585–1589

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Our case-based article has not been published before, is not under consideration for publication anywhere else, and its publication has been approved by all co-authors.

Author information

Authors and Affiliations

  1. Department of Radiology, Mustafa Kemal University School of Medicine, Serinyol, Antakya, 31120, Hatay, Turkey

    Hanifi Bayarogullari, İsmail Kartal & Gülen Burakgazi

  2. Gaziantep Özel Sevgi Hastahanesi, Eyyüpoğlu Mahallesi, Rauf Yılmazer Caddesi No:16, 27027, Şahinbey, Gaziantep, Turkey

    Rasim Yanmaz

Authors
  1. Hanifi Bayarogullari
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rasim Yanmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. İsmail Kartal
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Gülen Burakgazi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Hanifi Bayarogullari.

Ethics declarations

Conflict of interest

There is no conflict with article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bayarogullari, H., Yanmaz, R., Kartal, İ. et al. Two cases with giant pseudo-aneurysm of vertebral artery secondary to shrapnel injury. Childs Nerv Syst 32, 2233–2237 (2016). https://doi.org/10.1007/s00381-016-3075-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-016-3075-5

Keywords

Search

Navigation