False aneurysm secondary to penetration of the brain through orbitofacial wounds

✓ Two cases of intracranial false aneurysm following penetrating orbitofacial wounds are reported. These were the only false aneurysms identified in a series of 2187 penetrating wounds of the brain from Vietnam. Three similar false aneurysms have been reported previously, and these also were associated with orbitofacial penetration. The unusual incidence of this type of arterial injury secondary to penetrating orbitofacial wounds suggests the value of early arteriographic evaluation.