brain-injury-2017-keynote

12 / 12

Neurosurg, an open access journal
ISSN: 2471-9633
Page 44
Notes:
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4th International Conference on
alliedacademies
Mohamed Adel Deniwar
Mansoura university hospitals-Egypt
Cranial trauma associated cerebrovascular lesions: A review and case report
Traumatic cerebrovascular injury (TCVI) can occur
secondary to blunt or penetrating cranial trauma. Blunt
TCVI is uncommon, only (1%), yet it may cause severe brain
insult with high morbidity and mortality.
Immediate TCVI in the form of intracranial hemorrhage or
subgaleal hematoma can be diagnosed on a primary head
CAT scan. 70% of subarachnoid hemorrhage (SAH) follows
cranial trauma. Intracerebral hematoma secondary to direct
brain contusion or cerebral vessel injury is a devastating
common TCVI.
Delayed cerebrovascular lesions secondary to cranial trauma
hadbeendocumented.Skullbasefractureassociatedtraumatic
aneurysms (TA) and Dural carotid cavernous fistulas (DCCF)
areprimeexamples. Advanced investigations as CT angiogram
(CTA), magnetic resonance angiogram (MRA) and digital
subtraction angiogramare sought to help in proper diagnosis.
We document two cases of cerebrovascular lesions following
cranial trauma: the first case is a direct DCCF in 7 years old
girl following motor vehicle accident and the second case
is a scalp arteriovenous malformation (AVM) in 14 years
old boy after direct head injury. Our aim is to scope out the
management pitfalls and the prognosis.
Cerebrovascular lesions following cranial trauma should
be anticipated, especially in severe head injuries. Proper
line of management should be chosen and started at the
suitable timing for good outcome. Many lines of treatment
from surgical clipping, trapping, etc. up to endovascular
embolization can achieve this.
Key words: Cranial trauma, cerebrovascular lesions,
Dural carotid cavernous fistulas, and Scalp arteriovenous
malformation.
Speaker Biography
Mohamed Adel Deniwar works as a lecturer of neurosurgery at Mansoura University
Hospitals in Egypt
e:
Mohamed Adel Deniwar, Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-004