Intracavernous internal carotid artery pseudoaneurysm

Radhika Sridharan, Soo Fin Low, Mohd Redzuan Ismail, Thean Yean Kew

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Epistaxis is commonly encountered in otorhinolaryngologic practice. However, severe and recurrent epistaxis is rarely seen, especially that originating from a pseudoaneurysm of the intracavernous internal carotid artery (ICA). We herein present the case of a 32-year-old man who was involved in a motor vehicle accident and subsequently developed recurrent episodes of profuse epistaxis for the next three months, which required blood transfusion and nasal packing to control the bleeding. Computed tomography angiography revealed a large intracavernous ICA pseudoaneurysm measuring 1.7 cm × 1.2 cm × 1.0 cm. The patient underwent emergent four-vessel angiography and coil embolisation and was discharged one week later without any episode of bleeding. He remained asymptomatic after three-month and one-year intervals. This case report highlights a large intracavernous ICA pseudoaneurysm as a rare cause of epistaxis, which requires a high index of suspicion in the right clinical setting and emergent endovascular treatment to prevent mortality.

Original languageEnglish
Pages (from-to)165-168
Number of pages4
JournalSingapore Medical Journal
Volume55
Issue number10
DOIs
Publication statusPublished - 1 Oct 2014

Fingerprint

Carotid Artery Injuries
Epistaxis
Internal Carotid Artery
Hemorrhage
False Aneurysm
Motor Vehicles
Nose
Blood Transfusion
Accidents
Angiography
Mortality

Keywords

  • Carotid
  • Endovascular
  • Epistaxis
  • Intracavernous
  • Pseudoaneurysm

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Intracavernous internal carotid artery pseudoaneurysm. / Sridharan, Radhika; Low, Soo Fin; Ismail, Mohd Redzuan; Kew, Thean Yean.

In: Singapore Medical Journal, Vol. 55, No. 10, 01.10.2014, p. 165-168.

Research output: Contribution to journalArticle

Sridharan, Radhika ; Low, Soo Fin ; Ismail, Mohd Redzuan ; Kew, Thean Yean. / Intracavernous internal carotid artery pseudoaneurysm. In: Singapore Medical Journal. 2014 ; Vol. 55, No. 10. pp. 165-168.
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