A Case of Traumatic Pseudoaneurysm of the Internal Carotid Artery Found Incidentally during Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea.
- Author:
Dong Gu HUR
1
;
Woo Sub SHIM
;
Ji Hoon MO
;
Chul Hee LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. chulhee@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Traumatic;
Pseudoaneurysm;
Cerebrospinal fluid rhinorrhea;
Incidental findings;
Balloon occlusion
- MeSH:
Accidents, Traffic;
Aneurysm, False*;
Balloon Occlusion;
Carotid Artery, Internal*;
Cerebrospinal Fluid Rhinorrhea*;
Cerebrospinal Fluid*;
Diagnosis;
Epistaxis;
Female;
Hemorrhage;
Humans;
Incidental Findings;
Nasal Cavity;
Sphenoid Sinus;
Young Adult
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(12):1548-1551
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Posttraumatic pseudoaneurysm of the internal carotid artery (ICA) is uncommon but potentially becomes a fatal cause of epistaxis. Because the onset of delayed bleeding from the time of injury is variable, a prompt diagnosis of cavernous ICA pseudoaneurysm is often a clinical challenge. Optimal management demands rapid recognition and prompt treatment to give the best functional outcome. Although there are many reports of posttraumatic pseudoaneurysm, most of those cases were presented with epistaxis. We experienced a case of 24-year old female who visited our hospital with complaints of rhinorrhea after traffic accident. During exploration of nasal cavity and sinuses for repairing cerebrospinal fluid (CSF) leakage, a huge pseudoaneurysm of left ICA was found in sphenoid sinus. She was successfully treated with endovascular embolization techniques that included detachable balloons. The clinical and radiologic findings in this case are presented.
