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Published in: Child's Nervous System 11/2016

01-11-2016 | Case Report

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

Authors: Hanifi Bayarogullari, Rasim Yanmaz, İsmail Kartal, Gülen Burakgazi

Published in: Child's Nervous System | Issue 11/2016

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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.
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Metadata
Title
Two cases with giant pseudo-aneurysm of vertebral artery secondary to shrapnel injury
Authors
Hanifi Bayarogullari
Rasim Yanmaz
İsmail Kartal
Gülen Burakgazi
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 11/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3075-5

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