Traumatic internal carotid artery pseudoaneurysm mimicking sphenoid sinus tumor
Volume: 45 - Issue: 4
First page: 332 - Last page: 335
Y.-Y. Tseng - T.M. Tseng - S.-T. Yang - P.Y. Chen - Y.-S. Yeh - H. Tseng - T.-C. Yang - H.C. Lin - H.-F. Wong - C.Y. Chang - S.H. Hung
DOI: 10.4193/Rhin
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.
Rhinology 45-4: 332-335, 2007
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