Pseudoaneurysm of the internal carotid artery presenting with massive (recurrent) epistaxes: a life-threatening complication of craniofacial trauma
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Data
2008-06-01
Autores
Zanini, Marco Antonio [UNESP]
Tahara, Adriana [UNESP]
Santos, Gabriel Siqueira dos [UNESP]
Freitas, Carlos Clayton Macedo de [UNESP]
Jory, Mauricio [UNESP]
Caldas, José Guilherme Mendes Pereira [UNESP]
Pereira, Vitor Mendes
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Academia Brasileira de Neurologia (ABNEURO)
Resumo
Vascular lesions can be serious complications resulting of blunt or penetrating trauma(1,2). Internal carotid artery lesion is one of most serious and relatively frequent in all mechanisms of craniofacial trauma. Several clinical manifestations can occur as central neurologic and cranial nerves deficits as well as several degrees of bleeding (from mild symptomatic to fatal). Recurrent and massive epistaxis can occur after trauma due to pseudaoneurysms of the external and internal carotid artery (ICA)(3,4). Considering its life-threatening course, the assisting physician has a relatively narrow time to detect and treat these lesions.We present two cases of recurrent and massive epistaxis secondary to ICA pseudoaneurysm following blunt and perforating trauma. Evolution was fatal in the first case with delayed treatment and uneventfully in the second which was treated by occlusion of the pseudoaneurysm and ICA via endovascular intervention.
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Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 66, n. 2a, p. 268-271, 2008.