Massive epistaxis resulting from an intracavernous internal carotid artery traumatic pseudoaneurysm: complete resolution with overlapping uncovered stents.
Blunt traumatic injuries of the intracranial carotid arteries can result in pseudoaneurysm formation. A pseudoaneurysm of the intracavernous carotid artery may rupture into the cavernous sinus, causing life-threatening epistaxis. We report a case of intracavernous traumatic psedoaneurysm presenting with delayed massive epistaxis. The endovascular treatment with overlapping self-expanding stents achieved complete exclusion of the pseudoaneurysm with preservation of the intracavernous carotid artery.
Department of Neurosurgery, Hospital General Universitario "Gregorio Marañón", Madrid, Spain. doc.fer@gmx.de
Fernando
F
Ruiz-Juretschke
Enrique
E
Castro
Olga
O
Mateo Sierra
Begoña
B
Iza
Jose
J
Manuel Garbizu
Fernando
F
Fortea
Francisco
F
Villoria
D000328:Adult; D020212:Carotid Artery Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004844:Epistaxis / Q000209:etiology* / Q000601:surgery*; D016489:Head Injuries, Closed / Q000150:complications; D006801:Humans; D008297:Male; D011859:Radiography; D020205:Skull Fracture, Basilar / Q000150:complications; D013100:Sphenoid Bone / Q000293:injuries / Q000473:pathology; D015607:Stents / Q000592:standards*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods