Pseudoaneurysm of the internal carotid artery presenting with massive (recurrent) epistaxes: a life-threatening complication of craniofacial trauma.
نویسندگان
چکیده
Disciplina de Neurocirurgia da Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu SP, Brasil (UNESP); Serviço de Neurorradiologia Diagnóstica e Intervencionista, Hospital das Clínicas da UNESP, Botucatu SP, Brasil (FMB/UNESP); Setor de Neurorradiologia Intervencionista do Instituto de Radiologia, Hospital das Clínicas da USP, São Paulo SP, Brasil (FMUSP); Service de Neuroradiologie Diagnostique et Thérapeutique, Hôpital de Bicetre, Paris, France.
منابع مشابه
Massive Epistaxis from Internal Carotid Pseudoaneurysm during Acute Ischemic Stroke in a Patient with Nasopharyngeal Carcinoma.
PURPOSE Carotid blowout syndrome due to rupture of internal carotid artery pseudoaneurysm in NPC patients with prior neck radiation is an uncommon but life-threatening complication. Concomitant carotid stenosis with ischemic stroke and carotid rupture from pseudoaneurysm is rare. CASE REPORT A 71-year-old man had a history of NPC treated with radiation therapy 26 years ago. He was admitted to...
متن کاملTraumatic Carotid Cavernous Fistula with a Connection between the Supraclinoid Internal Carotid Artery and Cavernous Sinus via a Pseudoaneurysm Presenting with Delayed Life-threatening Epistaxis
Traumatic carotid cavernous fistula (CCF) presents most commonly as a direct connection between the cavernous segment of internal carotid artery (ICA) and cavernous sinus (CS), and often accompanies basal skull fracture (BSF). The most frequently reported signs and symptoms are proptosis, chemosis, and bruit. Epistaxis is uncommon symptom of CCF. A 63-year-old man with a history of BSF due to b...
متن کاملDelayed Endovascular Coil Extrusion following Internal Carotid Artery Embolization
Internal carotid artery injury is a rare and devastating complication of endoscopic sinus and skull base surgery that has an associated mortality rate of 15%. This case describes a patient who developed massive epistaxis following routine sinus surgery and was eventually diagnosed with a pseudoaneurysm of the cavernous internal carotid artery. Endovascular coiling and Onyx (Covidien, Irvine, Ca...
متن کاملTraumatic intracranial internal carotid artery pseudoaneurysm presenting as epistaxis treated by endovascular coiling
Traumatic intracranial pseudoaneurysm is a rare complication of blunt trauma. It is even more rare when it presents as epistaxis. Massive epistaxis of a ruptured intracranial internal carotid artery pseudoaneurysm is a major cause of mortality, which requires emergency intervention. We report a case of traumatic intracranial internal carotid artery pseudoaneurysm secondary to skull base fractur...
متن کاملEndovascular Treatment of Traumatic Pseudoaneurysm Presenting as Intractable Epistaxis
OBJECTIVE To investigate the clinical efficacy of individual endovascular management for the treatment of different traumatic pseudoaneurysms presenting as intractable epistaxis. MATERIALS AND METHODS For 14 consecutive patients with traumatic pseudoaneurysm presenting as refractory epistaxes, 15 endovascular procedures were performed. Digital subtraction angiography revealed that the pseudoa...
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عنوان ژورنال:
- Arquivos de neuro-psiquiatria
دوره 66 2A شماره
صفحات -
تاریخ انتشار 2008