{"id":"45a91ddf-d3ee-4c9f-8e35-a5bebce7ca60","slug":"delayed-diagnosis-of-post-traumatic-aneurysm-of-distal-anterior-cerebral-artery","title":"Delayed diagnosis of post-traumatic aneurysm of distal anterior cerebral artery","authors":["Domenico Policicchio","Giampiero Muggianu","Giosuè Dipellegrini","Riccardo Boccaletti"],"abstract":"Background: Traumatic intracranial aneurysms (TICA) are often associated with poor prognosis and should be diagnosed as soon as possible to prevent delayed intracranial hemorrhage and high rates of morbidity/mortality related to bleeding. Diagnosis requires a high index of suspicion. The goal of treatment is to exclude the aneurysm issue with surgical or endovascular methods. Case Description: We report the case of a 19-year-old boy who suffered a cranio-orbital trauma; 2 weeks after initial trauma he deteriorates with a new intracranial bleeding. Immediate angiography resulted negative. Delayed follow-up by magnetic resonance angiography showed an unruptured aneurysm of anterior cerebral artery that was successfully clipped. Conclusions: A TICA should be suspected in case of delayed deterioration in head-injured patient, prompt diagnosis and treatment could improve prognosis and reduce morbidity and mortality.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/45a91ddf-d3ee-4c9f-8e35-a5bebce7ca60/featured/hero-1782420845483.png","publishDate":"2018-11-01T00:00:00.000Z","doi":"10.4103/sni.sni_252_18","categories":["Neurovascular","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/45a91ddf-d3ee-4c9f-8e35-a5bebce7ca60/pdf"}