J Korean Neurosurg Soc.  2002 Apr;31(4):369-372.

Endovascualr Treatment for Traumatic Giant Pseudoaneurysm of Internal Carotid Artery

Affiliations
  • 1Department of Radiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 2Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 3Department of Neurosurgery, Yonsei University Wonju College of Medicine, Wonju, Korea.

Abstract

Traumatic pseudoaneurysms of the cavernous portion of the internal carotid artery(ICA) presenting with epistaxis are uncommon and potentially lethal complication of head injury. Because the onset of delayed bleeding from the time of injury is variable, prompt diagnosis and treatment of cavernous ICA pseudoaneurysm is important. A patient with a giant traumatic pseudoaneurysm of the left ICA presented with massive epistaxis 5 months after a head trauma. This patient was treated with occlusion of the opening of pseudoaneurysm and ICA by a detachable balloon and fibered coils.

Keyword

Traumatic aneurysm; Head injury; Epistaxis; Balloon occlusion
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