カワシマ　アキツグ   Akitsugu Kawashima   川島　明次    所属   医学部 医学科（東京女子医科大学病院）    職種   准教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	A case report of a pediatric traumatic aneurysm with arteriovenous (A-V) fistula CASE-BASED UPDATE.
掲載誌名	正式名：Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery 略　 称：Childs Nerv Syst ISSNコード：14330350/02567040
掲載区分	国外
巻・号・頁	30(12),pp.2003-8
著者・共著者	Anami Hidenori, Aihara Yasuo, Kawashima Akitsugu, Yamaguchi Koji, Nagahara Ayumi, Okada Yoshikazu
発行年月	2014/12
概要	BACKGROUND:Traumatic intracranial aneurysms (TICAs) are rare, representing less than 5 % of all intracranial aneurysms. Most TICAs are located within the anterior circulation, and less than 10 % of TICAs occur in the posterior circulation. Histopathologically, most TICAs are false aneurysms and have a high risk of rupture or re-bleeding. When they are discovered, careful observation or treatment may be required. Once they are enlarged, they have a high risk of rupture, and immediate treatment is essential.CASE REPORT:For the first time in the literature, we report a rare case of an 8-year-old boy with a TICA in anterior inferior cerebellar artery (AICA) and arteriovenous (A-V) fistula after severe head trauma. Trapping of AICA and resection of the aneurysm was performed. Postoperatively, he has peripheral facial palsy but is otherwise neurologically normal.CONCLUSION:Surgical treatment for traumatic aneurysms is challenging because most of TICAs are histopathologically pseudoaneurysms. It may be technically difficult to perform direct surgery of aneurysms especially located in the posterior circulation, but when the treatment is successful, the outcome was favorable.
DOI	10.1007/s00381-014-2551-z
PMID	25227169