Traumatic giant aneurysm of the intracavernous internal carotid artery causing fatal epistaxis: case report.
A patient with a giant intracavernous carotid aneurysm usually has symptoms and signs of a space-occupying lesion, producing one of a variety of types of cavernous sinus syndromes. Epistaxis is an unusual feature in these patients. A patient who noted the onset of repeated arterial epistaxis 2 years after a severe head injury was found to have a traumatic aneurysm of the cavernous portion of internal carotid artery. After angiography, he suddenly developed profuse, pulsatile, arterial epistaxis and had a cardiopulmonary arrest. This case and a review of previously reported cases emphasize the importance of early cerebral angiography in patients with posttraumatic recurrent epistaxis.
Ildan
F
F
Department of Neurosurgery, Cukurova University, Faculty of Medicine, Balcali, Adana, Turkey.
Uzuneyüpoğlu
Z
Z
Boyar
B
B
Bağdatoğlu
H
H
Cetinalp
E
E
Karadayi
A
A
D000328:Adult; D000783:Aneurysm / Q000150:complications*; D002340:Carotid Artery Diseases / Q000150:complications*; D002343:Carotid Artery, Internal; D004844:Epistaxis / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D016489:Head Injuries, Closed / Q000150:complications*; D006801:Humans; D008297:Male; D012887:Skull Fractures / Q000150:complications