Epistaxis Originating From Traumatic Pseudoaneurysm of the Internal Carotid Artery: Diagnosis and Endovascular Therapy

1998 ◽  
Vol 108 (3) ◽  
pp. 326-331 ◽  
Author(s):  
Dasun Chen ◽  
Adriane P. Concus ◽  
Van V. Halbach ◽  
Steven W. Cheung
2021 ◽  
Vol 16 (8) ◽  
pp. 2095-2098
Author(s):  
Enrique Carlos García-Pretelt ◽  
Carlos Felipe Marín-Díaz ◽  
Valentina Mejía-Quiñones ◽  
Edgar Andrés Folleco-Pazmiño

2015 ◽  
Vol 21 (3) ◽  
pp. 325-328 ◽  
Author(s):  
Andrea Giorgianni ◽  
Carlo Pellegrino ◽  
Renzo Minotto ◽  
Anna Mercuri ◽  
Fabio Baruzzi ◽  
...  

This paper is a case report of a young patient after a major head trauma causing multiple skull base fractures. The trauma occasioned pseudoaneurysm (PSA) from intracavernous C4 segment of left internal carotid artery (ICA) protruding in the sphenoidal sinus. After two months, two episodes of massive epistaxis occurred. Consequently, the post-traumatic PSA was treated, after carotid occlusion test, with flow-diverter stent positioning. A computed tomography angiography study performed in the following days showed complete resolution of the post-traumatic PSA lesion and ICA patency.


Author(s):  
P.D. McNeely ◽  
D.B. Clarke ◽  
B. Baxter ◽  
R.A. Vandorpe ◽  
I. Mendez

Backgound:“Blister-like” aneurysms of the supraclinoid internal carotid artery have recently been recognized as having unique pathological and clinical features. Little is known regarding their optimal treatment modality.Methods:We report a case of a “blister-like” aneurysm of the internal carotid artery treated with Guglielmi detachable coil (GDC) embolization. Case Report: A 55-year-old man presented with a Hunt & Hess grade II subarachnoid hemorrhage. Computed tomography revealed diffuse subarachnoid blood. Cerebral angiography demonstrated a broad-based bulge on the medial wall of the right distal internal carotid artery. The patient was taken to the operating room and underwent a right pterional craniotomy and wrapping of this unclippable aneurysm. On postoperative day 11, he developed signs of vasospasm, and repeat angiography showed remarkable growth of the aneurysm. The aneurysm was believed to be amenable to endovascular therapy and was treated by GDC embolization. The patient recovered well and remained neurologically intact on follow-up examinations. Repeat cerebral angiography was performed three and nine months following his initial presentation and revealed a significant aneurysm neck remnant. This neck remnant was treated by repeat GDC embolization 13 months following his subarachnoid hemorrhage.Conclusion:“Blister-like” aneurysms of the internal carotid artery are important to recognize and are difficult to manage using traditional surgical approaches. Early repeated cerebral angiography is indicated and, where appropriate, endovascular therapy should be considered in the management of these patients.


2013 ◽  
Vol 20 (7) ◽  
pp. 1017-1024 ◽  
Author(s):  
U. Fischer ◽  
M.-L. Mono ◽  
G. Schroth ◽  
S. Jung ◽  
P. Mordasini ◽  
...  

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