OBJECTIVE The recent guidelines on management of aneurysmal subarachnoid hemorrhage (aSAH) advise pharmacological thromboprophylaxis (PTP) after aneurysm obliteration. However, no study has addressed the safety of PTP in the aSAH population. Therefore, the aim of this study was to assess the safety of early PTP after aSAH. METHODS Retrospective cohort of aSAH patients admitted between January...

BACKGROUND Ophthalmoplegia secondary to a traumatic dissecting aneurysm in the cavernous segment of internal carotid artery (ICA) is a relatively rare entity. Anticoagulant or antiplatelet therapy is the preferred treatment option for carotid dissections. However, endovascular interventions are noninvasive and alternative methods to surgery, especially in cases of aneurysms that do not respond ...

AIM Intracranial internal carotid artery aneurysms are an extremely rare cause of spontaneous epistaxis, with a few documented cases. The management of such cases is challenging due to the relative anatomical inaccessibility of the bleeding point. The aim of the present study was to acquaint the readers with this rare type of aneurysm presenting with epistaxis and to report our experience of tr...

Interventional and hybrid methods of treatment, combining open surgical endovascular repairs, are the most promising areas in surgery thoracoabdominal aorta. Recent studies, however, have demonstrated that complex thoracic aneurysm repair (TEVAR) is one high-dose interventions. In addition, TEVAR associated with use a significant volume contrast media (CM), which can lead to contrast-induced ac...

INTRODUCTION Occipital artery aneurysms are very rare vascular lesions. Most cases reported in the literature have been post-traumatic pseudoaneurysms of the occipital artery. CASE PRESENTATION We report the case of a 14-year-old Caucasian boy presented with a painless non-pulsatile scalp mass that developed rapidly after minor blunt head trauma. The scalp mass was excised six months after th...

The occurrence of intracranial traumatic pseudoaneurysm (TPA) in the posterior inferior cerebellar artery (PICA) is extremely rare. Management is challenging as it bears a high mortality. We encountered a case of PICA-TPA which was initially misdiagnosed as aneurysm pre-surgically. A 44-years old woman presented with sudden onset of change in mental status, headache and vomiting for 3 hours. Sh...

BACKGROUND Traumatic intracranial pseudoaneurysms in children are typically the result of blunt or penetrating head injury. There are isolated reports of pseudoaneurysm as the result of intracranial aneurysm surgery in both adults and children. Treatment of these lesions, both surgically and endovascularly, can be complicated due to the known variability of arterial wall thickness in traumatic ...

A male cyclist presented with a swelling on the forehead. Six weeks before, he fell of his bike and smashed his head on the ground while wearing a helmet. A smooth lump of 1 cm had evolved on the temporal side of his forehead in a few weeks. Duplex ultrasonography demonstrated a dilated vessel with a minor defect in the luminal wall. Surgical exploration revealed an aneurysm of the superficial ...

but life-threatening cause of upper gastrointestinal bleeding (1, 2). The most common causes of an AEF include a thoracic aortic aneurysm, foreign body ingestion, or esophageal malignancy. A small fraction of aortoesophageal fistula cases were caused by surgical complications, esophageal reflux, tuberculosis, traumatic false aneurysms, corrosive esophagitis, congenital anomalies, atheroscleroti...

Traumatic basal subarachnoid haemorrhage (TBSAH) refers to a severe centred bleed, almost invariably resulting from micro-tear or in exceptional circumstances more lengthy dissection of the intracranial vertebrobasilar arterial system. This is typically caused by an impact side upper neck, angle jaw and/or ear/mastoid region. TBSAH associated with immediate comatose state, often accompanied int...