Traumatic internal carotid artery pseudoaneurysm mimicking sphenoid sinus tumor.
Massive epistaxis following blunt craniofacial trauma should alert clinicians to possible traumatic internal carotid artery (ICA) aneurysm. This article describes a case of a 46-year-old female patient with traumatic ICA pseudoaneurysm presenting similar to a sphenoid sinus mass lesion. Massive bleeding occurred during the endoscopic procedure. Brain angiography revealed two lobulated ICA pseudoaneurysms over a cavernous segment. The patient successfully underwent endovascular stent assisted coil embolization. Timely diagnosis and treatment of the ICA psuedoaneurysm produced a favourable outcome.
Tseng
Yuan-Yun
YY
Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, ROC.
Yang
Shun-Tai
ST
Yeh
Yi-Shian
YS
Yang
Tao-Chieh
TC
Wong
Ho-Fai
HF
D017541:Aneurysm, False / Q000175:diagnosis* / Q000628:therapy; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic; D004844:Epistaxis / Q000209:etiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010255:Paranasal Sinus Neoplasms / Q000175:diagnosis*; D012887:Skull Fractures / Q000601:surgery; D013101:Sphenoid Sinus