Traumatic intracavernous carotid aneurysm with massive epistaxis

M. Y. Liu, C. J. Shih, Y. C. Wang, S. H. Tsai

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31 Citations (Scopus)

Abstract

Five cases of traumatic intracavernous carotid aneurysm are presented. All of the patients were young men with a history of severe head injury. The clinical manifestations were massive epistaxis and an ipsilateral cavernous sinus syndrome. The diagnosis was made correctly by carotid angiography. All of the patients developed another episode of massive epistaxis after admission. Emergency trapping of the internal carotid artery was performed. An urgent rescue method was used in one of our patients to prevent exsanguination before definitive surgical treatment. One patient died of exsanguination in spite of emergency ligation of the internal carotid artery. In the other four patients, no epistaxis was experienced after the operation.

Original languageEnglish
Pages (from-to)569-573
Number of pages5
JournalNeurosurgery
Volume17
Issue number4
Publication statusPublished - 1985
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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    Liu, M. Y., Shih, C. J., Wang, Y. C., & Tsai, S. H. (1985). Traumatic intracavernous carotid aneurysm with massive epistaxis. Neurosurgery, 17(4), 569-573.