Evidence map›Paper›PMID 42539308›Full record

ReviewNeurotrauma reports

Evolution of Diagnosis and Management of Traumatic Intracranial Aneurysms Secondary to Penetrating Brain Injury.

Riccardo Serra, Bizhan Aarabi, Jesse Stokum, Matthew Hentschel, J Marc Simard, Mohamed Labib, Jacob Cherian, Timothy Chryssikos, Gary Schwartzbauer

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Neurotrauma reports. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Riccardo SerraDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.ORCID https://orcid.org/0009-0006-8984-4278
Bizhan AarabiDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Jesse StokumDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Matthew HentschelDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
J Marc SimardDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Mohamed LabibDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Jacob CherianDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Timothy ChryssikosDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Gary SchwartzbauerDepartment of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traumatic intracranial aneurysms (TICAs) secondary to penetrating traumatic brain injuries (PTBIs) including gunshot wounds and shell fragments carry a significant risk of rupture, intracerebral hematoma, neurological injury, and death. Although these lesions were previously thought to arise in a delayed fashion, TICAs have been increasingly reported immediately after PTBI. Early detection and endovascular therapies have contributed to a significant evolution in their management. Here, we review and present reported TICAs in the literature spanning both civilian and military contexts. Lesions are analyzed by morphology, location, management strategies, and outcomes. Methods: Case series/reports published between 1940 and 2025 were considered. Injury mechanism, arterial location, diagnostic imaging modality, time to diagnosis, treatment, and outcome data were collected. Only full texts were considered in the final analysis. Results: A total of 250 traumatic intracranial pseudoaneurysms in 227 patients met inclusion criteria for this study. The most common vessel distribution was the middle cerebral artery (MCA, Conclusion: TICAs are complex lesions secondary to PTBIs. Detection, management strategies, and outcomes have evolved over the last several decades. Early detection using CTA and DSA has significantly increased the incidence of these lesions in the acute phase. Vigilant monitoring and delayed follow-up imaging remain essential components of modern management given the risk of delayed aneurysm formation, growth, and recanalization.

Indexed as

gunshot wound to the headintracerebral hemorrhageTICAtraumatic intracranial aneurysmsvascular trauma

Identifiers

PMID42539308
PMCPMC13422588

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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.