Traumatic occipital artery pseudoaneurysm: Case report, anatomical considerations, and literature review

Author:

de Oliveira Souza Natália Vasconcellos1ORCID,Janot Kevin1,Dmytriw Adam A1ORCID,Benalia Victor Hugo2,Mendes Pereira Vitor1

Affiliation:

1. Neurovascular Center, Department of Surgery, Division of Neurosurgery, St. Michael's Hospital, University of Toronto, Toronto ON, Canada

2. Department of Neurosurgery, Baptist Medical Center, Jacksonville, Florida, USA

Abstract

We describe a case of a 22-year-old man with a traumatic occipital artery pseudoaneurysm revealed by a painful expanding neck hematoma after a penetrating knife injury. A neuroendovascular consultation was requested after a computed tomography angiogram showed active pseudoaneurysm bleeding. Anatomical considerations of the upper cervical region including dangerous anastomosis between the vertebral and internal carotid artery are discussed, illustrating how this impacted our treatment strategy. We also discuss other treatment modalities after a thorough literature review of traumatic occipital artery pseudoaneurysms.

Publisher

SAGE Publications

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