Massive epistaxis resulting from an intracavernous internal carotid artery traumatic pseudoaneurysm: complete resolution with overlapping uncovered stents.

Ruiz-Juretschke, Fernando; Castro, Enrique; Mateo Sierra, Olga; Iza, Begoña; Manuel Garbizu, Jose; Fortea, Fernando; Villoria, Francisco · Acta Neurochir (Wien) · 2009

case_report · Level V

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Abstract

Blunt traumatic injuries of the intracranial carotid arteries can result in pseudoaneurysm formation. A pseudoaneurysm of the intracavernous carotid artery may rupture into the cavernous sinus, causing life-threatening epistaxis. We report a case of intracavernous traumatic psedoaneurysm presenting with delayed massive epistaxis. The endovascular treatment with overlapping self-expanding stents achieved complete exclusion of the pseudoaneurysm with preservation of the intracavernous carotid artery.

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