• Rhinology · Dec 2007

    Case Reports

    Traumatic internal carotid artery pseudoaneurysm mimicking sphenoid sinus tumor.

    • Yuan-Yun Tseng, Shun-Tai Yang, Yi-Shian Yeh, Tao-Chieh Yang, and Ho-Fai Wong.
    • Department of Neurosurgery, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, ROC.
    • Rhinology. 2007 Dec 1; 45 (4): 332-4.

    AbstractMassive 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.

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