Publication: Post-traumatic Pseudoaneurysm of the Internal Carotid Artery with Intractable Epistaxis: A Case Report Authors
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Epistaxis is a common otorhinolaryngology emergency. There are several treatment modalities for epistaxis, but bleeding from the internal carotid artery necessitates a particular treatment technique. We report a case of a 22-years old man who presented to us recurrent episodes of epistaxis and blurry vision in the right eye for one month. The patient had undergone maxillo-facial surgery following a road traffic accident one year back. Bleeding episodes were occasionally severe with blood loss of up to 800 to 1000ml. These episodes were managed conservatively with posterior nasal packing and frequent blood transfusions. A computed tomography-angiography revealed a pseudoaneurysm arising from the cavernous segment of the right internal carotid artery which was managed successfully by embolization of the aneurysm sac with coils. Despite the rarity of internal carotid artery pseudoaneurysm in individuals with a history of trauma, doctors must be aware of the possibility. Timely identification and treatment of a pseudoaneurysm can save a person's life.
Description
Subash Phuyal
Department of Neuroimaging and Interventional Neuroradiology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
Anisha Pandey
Department of Critical Care Medicine, Grande International Hospital, Kathmandu, Nepal
https://orcid.org/0000-0003-1981-6168
Suresh Bishokarma
Department of Neurosurgery, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, Nepal
https://orcid.org/0000-0001-9448-842X
Ritesh Lamsal
Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
https://orcid.org/0000-0003-4670-6909
Gopal Sedain
Department of Neurosurgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal
https://orcid.org/0000-0002-8184-3303
Keywords
aneurysm, epistaxis, internal carotid artery, pseudoaneurysm