Korean J Otolaryngol-Head Neck Surg.  1999 Aug;42(8):1055-1059.

A Case of Internal Carotid Artery Traumatic Pseudoaneurysm with Epistaxis: Treated with Detachable Balloon Occlusion (DBO) and Detachable Coil

• Kim YD
• Chung YS
• Song SY
• Byun WM

Abstract

Traumatic pseudoaneurysm of the intracavernous internal carotid artery (ICA) is rare, but it is life threatening because of massive epistaxis. Unfortunately, the prompt diagnosis and treatment of this desease are frequently delayed due to its rarity and latent period. Optimal therapy for this diseases is essential in order to minimize its morbidity and mortality. The authors present a case of male patient with traumatic pseudoaneurysm of ICA. This patient was a 24-year-old male with a multiple facial bone fracture, with unilateral blindness and recurrent massive epistaxis after suffering a head trauma. Computed tomography, MRI and carotid artery angiogram showed intracavernous pseudoaneurysm. The patient was effectively treated with occlusion of the ICA circulation by endovascular treatment utilizing detachable balloon occlusion (DBO) and mechanically detachable tungsten coils.

Keyword

Traumatic pseudoaneurysm; Intracavernous internal carotid artery; Epistaxis; Detachable balloon occlusion(DBO); Detachable coil

MeSH Terms

Aneurysm, False*
Balloon Occlusion*
Blindness
Carotid Arteries
Carotid Artery, Internal*
Craniocerebral Trauma
Diagnosis
Epistaxis*
Facial Bones
Humans
Magnetic Resonance Imaging
Male
Mortality
Tungsten
Young Adult
Tungsten