Traumatic internal carotid artery pseudoaneurysm mimicking sphenoid sinus tumor

Massive epistaxis following blunt craniofacial trauma should alert clinicians to possible traumatic internal carotid artery (ICA) aneurysm. This article describes a case of a 46-year-old female patient with traumatic ICA pseudoaneurysm presenting similar to a sphenoid sinus mass lesion. Massive blee...

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Veröffentlicht in:	Rhinology 2007-12, Vol.45 (4), p.332-334
Hauptverfasser:	TSENG, Yuan-Yun, YANG, Shun-Tai, YEH, Yi-Shian, YANG, Tao-Chieh, WONG, Ho-Fai
Format:	Artikel
Sprache:	eng
Schlagworte:	Aneurysm, False - diagnosis Aneurysm, False - therapy Biological and medical sciences Carotid Artery, Internal Embolization, Therapeutic Epistaxis - etiology Female Humans Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Paranasal Sinus Neoplasms - diagnosis Skull Fractures - surgery Sphenoid Sinus Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Zusammenfassung:	Massive epistaxis following blunt craniofacial trauma should alert clinicians to possible traumatic internal carotid artery (ICA) aneurysm. This article describes a case of a 46-year-old female patient with traumatic ICA pseudoaneurysm presenting similar to a sphenoid sinus mass lesion. Massive bleeding occurred during the endoscopic procedure. Brain angiography revealed two lobulated ICA pseudoaneurysms over a cavernous segment. The patient successfully underwent endovascular stent assisted coil embolization. Timely diagnosis and treatment of the ICA psuedoaneurysm produced a favourable outcome.
ISSN:	0300-0729