Epistaxis due to traumatic intracavernous aneurysm: case report.
A patient who noted the onset of repetitive arterial epistaxis and progressive unilateral visual impairment 2 months after a blunt head injury was found to have a traumatic aneurysm of the cavernous portion of internal carotid artery (ICA). The epistaxis resolved and his vision recovered following a trapping procedure. This case and a review of previously reported cases emphasize the importance of early cerebral angiography in patients with post-traumatic epistaxis and visual failure.
Lee
J P
JP
Department of Surgery, Chang Gung Medical College, Taipei, Taiwan, R.O.C.
Wang
A D
AD
D000328:Adult; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging* / Q000601:surgery; D006259:Craniocerebral Trauma / Q000150:complications*; D004844:Epistaxis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000209:etiology / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity