title: Traumatic intracranial internal carotid artery pseudoaneurysm presenting as epistaxis treated by endovascular coiling.
abstract: Traumatic intracranial pseudoaneurysm is a rare complication of blunt trauma. It is even more rare when it presents as epistaxis. Massive epistaxis of a ruptured intracranial internal carotid artery pseudoaneurysm is a major cause of mortality, which requires emergency intervention. We report a case of traumatic intracranial internal carotid artery pseudoaneurysm secondary to skull base fracture, which presented with delayed onset of epistaxis. This was successfully treated by primary endovascular coil embolization. We discuss endovascular treatment options and review the literature.
authors.affiliation: Department of Neurosurgery, King Fahad Hospital of the University, Alkhobar, Kingdom of Saudi Arabia. Email: hjehani@uod.edu.sa.
authors.forename: Hosam M
authors.initials: HM
authors.lastname: Al-Jehani
authors.forename: Hassan A
authors.initials: HA
authors.lastname: Alwadaani
authors.forename: Fadhel M
authors.initials: FM
authors.lastname: Almolani
mesh_terms: D000328:Adult; D020212:Carotid Artery Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002343:Carotid Artery, Internal; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D057510:Endovascular Procedures; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D020205:Skull Fracture, Basilar / Q000150:complications* / Q000000981:diagnostic imaging; D020206:Subarachnoid Hemorrhage, Traumatic / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
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