J Korean Neurosurg Soc.  1991 Jun;20(6):466-470.

A traumatic Giant Intracavernous Aneurysm Associated with Fatal Epistaxis: A Case Report

  • 1Departments of Neurosurgery, College of Medicine, Chungnam National University, Korea.


The autors reported a giant aneurysm in the cavernous portion of the internal carotid artery which occurred after head trauma. The patient was a 24 year old man who had suffered massive epistaxis with hyoptension about 25 days after a traffic accident. On plain skull X-ray, there was evidence of a basal skull fracture and a linear fracture at the right frontotemporal area. The computed tomographic scan revealed round, well enhanced density in the sellar region. During a reattack of massive epistaxis, emergency carotid angiography showed a right cavernous-internal carotid artery aneurysm with a small extravasation of dye into the sphenoid sinus.


Traumatic giant aneurysm; Epistaxis; Basal skull fracture; Carotid angiography
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