Traumatic internal carotid artery aneurysm and massive epistaxis.
A case of traumatic internal carotid artery aneurysm (ICAA) is described. Although rare, the occurrence of rupture of traumatic ICAA with epistaxis has a high mortality. Successful management requires an awareness of the entity, prompt recognition, and aggressive first aid procedures. Definitive treatment involves trapping of the internal carotid artery either by a direct approach, or by balloon embolization.
Karamoskos
P
P
Neurosurgery Unit, Alfred Hospital, Melbourne, Victoria, Australia.
Dohrmann
P J
PJ
D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000209:etiology; D002340:Carotid Artery Diseases / Q000150:complications* / Q000209:etiology; D002343:Carotid Artery, Internal; D006259:Craniocerebral Trauma / Q000150:complications*; D004844:Epistaxis / Q000209:etiology*; D006801:Humans; D008297:Male; D012421:Rupture