How I do it? Microsurgical treatment of traumatic anterior cerebral artery pseudoaneurysm with cerebrospinal fluid rhinorrhea

Acta Neurochir (Wien). 2025 May 24;167(1):153. doi: 10.1007/s00701-025-06540-5.

Abstract

Background: Despite the increasing reports of successful treatments for traumatic intracranial aneurysms, their characterization and the impact of concurrent head injuries on interventions aren't well explored.

Methods: A traumatic anterior cerebral artery pseudoaneurysm with CSF leakage was successfully treated. The aneurysm was treated microsurgically, while the CSF leakage was managed through dural repair.

Conclusion: Traumatic intracranial aneurysms may have strong aneurysm walls in the subacute stage, making microsurgical repair feasible. Concomitant skull base fractures and CSF rhinorrhea complicate treatment and should be carefully considered.

Keywords: Aneurysm wall; Cerebrospinal fluid Rhinorrhea; Microsurgery; Traumatic intracranial aneurysms.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm, False* / complications
  • Aneurysm, False* / diagnostic imaging
  • Aneurysm, False* / surgery
  • Anterior Cerebral Artery* / diagnostic imaging
  • Anterior Cerebral Artery* / pathology
  • Anterior Cerebral Artery* / surgery
  • Cerebrospinal Fluid Rhinorrhea* / etiology
  • Cerebrospinal Fluid Rhinorrhea* / surgery
  • Humans
  • Intracranial Aneurysm* / complications
  • Intracranial Aneurysm* / surgery
  • Male
  • Microsurgery* / methods
  • Neurosurgical Procedures* / methods
  • Treatment Outcome