Traumatic Pseudoaneurysm of the External and Internal Carotid Artery Presenting as Epistaxis: Case Report.
- Author:
Kyu Yup LEE
1
;
Hyeon Woo KIM
;
Jung Rea LEE
;
Joung Soo KIM
Author Information
1. Department of Otolaryngology-Head & Neck Surgery, College of Medicine, Kyungpook National University, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Traumatic pseudoaneurysm;
Epistaxis;
Embolization
- MeSH:
Aneurysm, False*;
Carotid Arteries;
Carotid Artery, External;
Carotid Artery, Internal*;
Endovascular Procedures;
Epistaxis*;
Hemorrhage;
Humans;
Latency Period (Psychology)
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2002;45(7):725-729
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Post-traumatic pseudoaneurysm of the carotid artery is extremely rare but present with progressively severe, often fatal epistaxis. Because temporal course of epistaxis in patients with traumatic pseudoaneurysm of the carotid artery commonly demonstrates a variable latency period, pseudoaneurysm is often a clinical challenge. Optimal management for this diseases demands rapid recognition and treatment to give the best functional outcome. The authors have experienced three cases of traumatic pseudoaneurysm of the carotid artery resulting in massive epistaxis and showing unusual clinical course that were successfully treated with endovascular techniques. In two patients, pseudoaneurysm formation resulted from hemorrhage of the internal carotid artery (ICA). The other one case resulted from the external carotid artery (ECA).
