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Delayed massive epistaxis due to traumatic intracavernous carotid artery pseudoaneurysm

Published online by Cambridge University Press:  29 June 2007

J. D. Hern ,
S. C. Coley ,
L. J. Hollis  and
S. M. Jayaraj
J. D. Hern*
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
S. C. Coley
Affiliation:
Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
L. J. Hollis
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
S. M. Jayaraj
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
*
Address for correspondence: Mr. J. D. Hern, 4 Avondale Road, Mortlake, London SW14 8PT.
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Abstract

Recurrent epistaxes after head injury may rarely be dueto a traumatic intracavernous carotid artery pseudoaneurysm. The headinjury is usually associated with fracture of the skull base and the epistaxes are severe with the first episode generally occurring one to three months after the initial trauma. We present a case which illustrates the role of high resolution computed tomography (CT) scanningand also magnetic resonance angiography (MRA) in achieving the diagnosis.

Keywords

EpistaxisHead injuryCerebral aneurysm
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 4 , April 1998 , pp. 396 - 398
Copyright
Copyright © JLO (1984) Limited 1998

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References

Bhatoe, H. S., Suryanarayana, K. V., Gill, H. S. (1995) Recurrent massive epistaxis due to traumatic intracavernous internal carotid artery aneurysm. Journal of Laryngology and Otology 109: 650–652.CrossRefGoogle ScholarPubMed
Huston, J., Nicols, D. A., Leutmer, P. H. (1994) Blinded prospective evaluation of sensitivity of MRangiography to known intracranial aneurysms: importance of size. American Journal of Neuroradiology 15: 1607–1614.Google Scholar
Mahmoud, N. A. (1979) Traumatic aneurysm of the internal carotid artery and epistaxis. Journal of Laryngology and Otology 93: 629–656.CrossRefGoogle ScholarPubMed
Maurer, M. Y., Mills, M., German, W. J. (1961) Triad of unilateral blindness, orbital fracture and massive epistaxis in head injury. Journal of Neurosurgery 18: 837–846.CrossRefGoogle ScholarPubMed
Simpson, R. K. Jr., Harper, R. L., Bryan, R. N. (1988) Emergency balloon occlusion for massive epistaxis due to traumatic carotid cavernous aneurysm. Journal of Neurosurgery 68: 142–144.CrossRefGoogle ScholarPubMed
Wang, A. N., Winfield, J. A., Gucer, G. (1986) Traumatic internal carotid artery aneurysm with rupture into the cavernous sinus. Surgical Neurology 25: 77–81.CrossRefGoogle Scholar
Wilcock, D. J., Jaspan, T., Worthington, B. S. (1995) Problems and pitfalls of 3-D TOF magnetic resonance angiography of the intracranial circulation. ClinicalRadiology 50: 526–532.Google ScholarPubMed
Yonas, H., Dujovny, M. (1980) ‘True’ traumatic aneurysm of the intracranial internal carotid artery. Neurosurgery 7: 499–500.Google Scholar