Evidence map›Paper›PMID 39866510›Full record

ArticleAcute medicine & surgery

Traumatic internal carotid artery aneurysm distant from facial bone fractures treated with a flow diverter stent: A case report.

Tatsuya Watanabe, Junzo Nakao, Keishun Boku, Koji Hirata, Yasukazu Totoki, Kuniharu Tasaki, Takeshi Miura, Tetsuya Hoshino, Yukei Matsumoto, Yuki Enomoto and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Tatsuya WatanabeDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0009-0009-6079-9938
Junzo NakaoDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0003-4822-6255
Keishun BokuDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0001-8972-6278
Koji HirataDepartment of Neurosurgery Institute of Medicine, University of Tsukuba Tsukuba Ibaraki Japan.
Yasukazu TotokiDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0001-8682-8623
Kuniharu TasakiDepartment of Ophthalmology, Institute of Medicine University of Tsukuba Tsukuba Ibaraki Japan.ORCID https://orcid.org/0009-0006-4167-4994
Takeshi MiuraDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0002-3397-9214
Tetsuya HoshinoDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.
Yukei MatsumotoDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.
Yuki EnomotoDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0002-3052-8602
Aiki MarushimaDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.
Yuji MatsumaruDepartment of Neurosurgery Institute of Medicine, University of Tsukuba Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0002-4827-8410
Yoshiaki InoueDepartment of Emergency and Critical Care Medicine Institute of Medicine, University of Tsukuba Hospital Tsukuba Ibaraki Japan.ORCID https://orcid.org/0000-0001-6407-1965

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traumatic intracranial aneurysms (TICAs) can be fatal if ruptured. We report a case of a TICA, distant from facial bone fractures, successfully treated with flow diverter (FD) before rupture. Case Presentation: A 20-year-old woman was admitted following a car accident. Initial contrast-enhanced computed tomography revealed traumatic subarachnoid hemorrhage, a 5-mm internal carotid artery aneurysm, LeFort type I + II, and mandibular fracture. On Day 8, she developed oculomotor palsy, and digital subtraction angiography revealed the aneurysm had increased to 12 mm. She started dual antiplatelet therapy (DAPT) following facial fracture repair. On Day 17, FD was placed, resulting in contrast agent stagnation within the aneurysm. Three months postinjury, her neurological symptoms improved. Conclusion: Screening for cerebrovascular injury is crucial several days following severe head trauma, even without skull base fractures. Unruptured TICA can be safely treated with FD following DAPT administration.

Indexed as

endovascular aneurysm repairfacial injuriesintracranial aneurysmoculomotor nerve palsytraumatic brain injury

Identifiers

PMID39866510
PMCPMC11761364

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.