A traumatic Giant Intracavernous Aneurysm Associated with Fatal Epistaxis: A Case Report.
- Author:
Jeong Nan CHO
1
;
Seong Ho KIM
;
Kwan Tae KIM
;
Youn KIM
Author Information
1. Departments of Neurosurgery, College of Medicine, Chungnam National University, Korea.
- Publication Type:Original Article
- Keywords:
Traumatic giant aneurysm;
Epistaxis;
Basal skull fracture;
Carotid angiography
- MeSH:
Accidents, Traffic;
Aneurysm*;
Angiography;
Carotid Arteries;
Carotid Artery, Internal;
Craniocerebral Trauma;
Emergencies;
Epistaxis*;
Humans;
Skull;
Skull Fractures;
Sphenoid Sinus;
Young Adult
- From:Journal of Korean Neurosurgical Society
1991;20(6):466-470
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The autors reported a giant aneurysm in the cavernous portion of the internal carotid artery which occurred after head trauma. The patient was a 24 year old man who had suffered massive epistaxis with hyoptension about 25 days after a traffic accident. On plain skull X-ray, there was evidence of a basal skull fracture and a linear fracture at the right frontotemporal area. The computed tomographic scan revealed round, well enhanced density in the sellar region. During a reattack of massive epistaxis, emergency carotid angiography showed a right cavernous-internal carotid artery aneurysm with a small extravasation of dye into the sphenoid sinus.