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Recurrent massive epistaxis due to traumatic intracavernous internal carotid artery aneurysm

Published online by Cambridge University Press:  29 June 2007

H. S. Bhatoe*
Affiliation:
Department of Neurosugery, Command Hospital (SC) and Armed Forces Medical College, Pune 411040, Maharashtra, India.
K.V. Suryanarayana
Affiliation:
Department of Otolaryngology, Command Hospital (SC) and Armed Forces Medical College, Pune 411040, Maharashtra, India.
H. S. Gill
Affiliation:
Department of Neurosugery, Command Hospital (SC) and Armed Forces Medical College, Pune 411040, Maharashtra, India.
*
Dr H. S. Bhatoe, M.S., M.Ch., Department of Neurosurgery, Command Hospital (SC), Pune 411040, Maharashtra, India.

Abstract

Traumatic internal carotid artery aneurysm presenting with epistaxis is rare. Epistaxis often occurs after a delay of weeks to months following head injury. The present case had bouts of recurrent massive epistaxis nearly four months after head injury. Diagnosis was made after carotid angiography. Epistaxis ceased after ipsilateral carotid ligation.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1995

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References

Araki, C., Handa, H., Handa, J. (1965) Traumatic aneurysm of the intracranial extradural portion of the internal carotid artery. Report of a case. Journal of Neurosurgery 23: 6467.CrossRefGoogle ScholarPubMed
Birley, J. L., Trotter, W. (1928) Traumatic aneuryms of the intracranial portion of the carotid artery. Brain 51: 184208.CrossRefGoogle Scholar
Cairns, H. (1942) The vascular aspect of head injuries. Lisboa médica 19: 375410.Google Scholar
Chambers, E., Rosenbaum, A. E., Norman, D., Newton, T. H. (1981) Traumatic aneurysms of the cavernous internal carotid artery with secondary epistaxis. American Journal of Neuroradiology 2: 405409.Google ScholarPubMed
Dolenc, V. V. (1988) Surgery of vascular lesions of the cavernous sinus. Clinical Neurosurgery 36: 240255.Google Scholar
Fox, A. J., Vinuela, E., Pelz, D. M., Ferguson, G. G., Peerless, S. J. (1987) Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. Journal of Neurosurgery 66: 4046.CrossRefGoogle ScholarPubMed
Gionetta, S. L., Weiss, M. H. (1981) Pitfalls in diagnosis of head injury. Clinical Neurosurgery 29: 288299.CrossRefGoogle Scholar
Handa, H., Handa, J. (1976) Severe epistaxis caused by traumatic aneurysm of cavernous carotid artery. Surgical Neurology 5: 241243.Google ScholarPubMed
Ildan, F., Uzuneyupoglu, Z., Boyar, B., Bagdatoglu, H., Centinalp, E., Karadayi, A. (1994) Traumatic giant aneurysm of the intracavernous carotid artery causing fatal epistaxis: case report. Journal of Trauma 36: 565567.CrossRefGoogle ScholarPubMed
Kaplan, H. A., Browder, J., Krieger, A. J. (1976) Intracavernous connections of the cavernous sinus. Journal of Neurosurgery 45: 166168.CrossRefGoogle Scholar
Lee, J. P., Wang, A. D. J. (1990) Epistaxis due to traumatic intracavernous aneurysm: case report. Journal of Trauma 30: 619622.CrossRefGoogle ScholarPubMed
Liu, M. Y., Shih, C. J., Wang, Y. C., Tsai, S. H. (1985) Traumatic internal carotid aneurysm with rupture into the sphenoid sinus. Neurosurgery 17: 569573.CrossRefGoogle Scholar
Mahmound, N. A. (1979) Traumatic aneurysm of the internal carotid artery and epistaxis. (Review of literature and report of a case). Journal of Laryngology and Otology 93: 629656.CrossRefGoogle Scholar
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: 837846.CrossRefGoogle ScholarPubMed
McCormick, E. F, Beales, J. D. (1964) Severe epistaxis caused by ruptured aneurysm of the internal carotid artery. Journal of Neurosurgery 21: 678686.CrossRefGoogle ScholarPubMed
Nagpal, R. D., Kirtane, M., Parikh, V. R. (1978) Traumatic intracranial aneurysm – a case report with suggested definitive line of treatment. Neurology India 26: 3133.Google ScholarPubMed
Packer, P. (1960) Severe epistaxis due to leaking aneurysm of the internal carotid artery. South African Medical Journal 34: 641642.Google ScholarPubMed
Parkinson, D. (1973) Carotid cavernous fistula: direct repair with preservation of the carotid artery. Journal of Neurosurgery 38: 99106.CrossRefGoogle ScholarPubMed
Parkinson, D., West, M. (1980) Traumatic intracranial aneurysms. Journal of Neurosurgery 52: 1120.CrossRefGoogle ScholarPubMed
Shallat, R. F., Tackman, M. S., Nagle, R. C. (1981) Delayed complications of craniocerebral trauma – case report. Neurosurgery 8: 569573.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: 142144.CrossRefGoogle ScholarPubMed
Teal, J. S., Rumbaugh, C. L., Bergeron, T., Segall, H. D. (1973) Aneurysms of the petrous or cavernous portions of the internal carotid artery associated with nonpenetrating head trauma. Journal of Neurosurgery 38: 568573.CrossRefGoogle ScholarPubMed
Trouppe, H. (1962) Infraclinoid aneurysms of the internal carotid artery as a cause of nosebleed. Acta Otolaryngologica (Stockholm) 55: 326330.CrossRefGoogle Scholar
Van Dellen, J. R. (1980) Intracavernous traumatic aneurysms. Surgical Neurology 13: 203207.Google ScholarPubMed
Wang, A. N., Winfield, J. A., Gucer, G. (1986) Traumatic internal carotid artery aneurysm with rupture into the cavernous sinus. Surgical Neurology 25: 7781.CrossRefGoogle Scholar
Yonas, H., Dujovny, M. (1980) ‘True’ traumatic aneurysm of the intracranial internal carotid artery. Case report. Neurosurgery 7: 499500.CrossRefGoogle ScholarPubMed