Air in the carotid canal as a predictor of distal internal carotid artery laceration

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,...

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Veröffentlicht in:	Acta neurochirurgica 2006-11, Vol.148 (11), p.1201-1203
Hauptverfasser:	Buis, D R, Dirven, C M F, van den Berg, R, Manoliu, R A, Vandertop, W P
Format:	Artikel
Sprache:	eng
Schlagworte:	Accidents, Traffic Adult Bicycling Carotid Artery Injuries - diagnosis Carotid Artery Injuries - etiology Carotid Artery, Internal - pathology Carotid Artery, Internal - physiopathology Cavernous Sinus - diagnostic imaging Cavernous Sinus - injuries Cavernous Sinus - pathology Central Nervous System Vascular Malformations - diagnosis Central Nervous System Vascular Malformations - etiology Central Nervous System Vascular Malformations - physiopathology Cerebral Angiography Embolism, Air - diagnosis Embolism, Air - etiology Embolism, Air - physiopathology Embolization, Therapeutic Epistaxis - etiology Facial Bones - diagnostic imaging Facial Bones - injuries Facial Bones - pathology Fatal Outcome Head Injuries, Closed - complications Humans Lacerations - diagnosis Lacerations - etiology Lacerations - physiopathology Male Mouth - physiopathology Paranasal Sinuses - diagnostic imaging Paranasal Sinuses - injuries Paranasal Sinuses - pathology Predictive Value of Tests Skull Base - diagnostic imaging Skull Base - injuries Skull Base - pathology Skull Fracture, Basilar - diagnostic imaging Skull Fracture, Basilar - etiology Skull Fracture, Basilar - pathology Tomography, X-Ray Computed Treatment Failure
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Beschreibung
Zusammenfassung:	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.
ISSN:	0001-6268 0942-0940
DOI:	10.1007/s00701-006-0900-8