"True" traumatic aneurysm of the intracranial internal carotid artery: case report

Neurosurgery. 1980 Nov;7(5):499-502. doi: 10.1227/00006123-198011000-00016.


This paper reports a case of a true aneurysm of the intracranial internal carotid artery that occurred after a closed head injury. The probable etiology of this unusual lesion is discussed in respect to other partial and complete vessel wall injuries. The diagnosis of a traumatic aneurysm must be suspected when a delayed intracranial hemorrhage occurs after a head injury. The treatment of most intracranial aneurysms should be early, direct operation. Traumatic aneurysms of the internal carotid artery, however, are uniquely treacherous, and they may warrant an indirect approach when discovered soon after injury.

Publication types

  • Case Reports

MeSH terms

  • Brain Injuries / complications*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery Diseases / etiology*
  • Carotid Artery Diseases / surgery
  • Carotid Artery, Internal
  • Cerebral Angiography
  • Humans
  • Intracranial Aneurysm / diagnostic imaging
  • Intracranial Aneurysm / etiology*
  • Intracranial Aneurysm / surgery
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed