Air in the carotid canal as a predictor of distal internal carotid artery laceration.
case_report · Level V
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Abstract
The authors describe a 25-year old patient with blunt trauma-induced bilateral, distal segment internal carotid artery (ICA) lacerations, resulting in a left-sided direct carotid-cavernous sinus fistula (CCF) and presenting with massive oronasal bleeding. The combination of severe oronasal bleeding, with air in the carotid canal should alarm the treating physician to the presence of a distal internal carotid artery laceration.
Medical subject headings
- Carotid Artery Injuries
- Cavernous Sinus
- Central Nervous System Vascular Malformations
- Embolism, Air
- Head Injuries, Closed
- Skull Base