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Journal of Korean Neurosurgical Society 1991;20(6): 466-470.
A traumatic Giant Intracavernous Aneurysm Associated with Fatal Epistaxis: A Case Report.
Jeong Nan Cho, Seong Ho Kim, Kwan Tae Kim, Youn Kim
Departments of Neurosurgery, College of Medicine, Chungnam National University, Korea.
ABSTRACT
The autors reported a giant aneurysm in the cavernous portion of the internal carotid artery which occurred after head trauma. The patient was a 24 year old man who had suffered massive epistaxis with hyoptension about 25 days after a traffic accident. On plain skull X-ray, there was evidence of a basal skull fracture and a linear fracture at the right frontotemporal area. The computed tomographic scan revealed round, well enhanced density in the sellar region. During a reattack of massive epistaxis, emergency carotid angiography showed a right cavernous-internal carotid artery aneurysm with a small extravasation of dye into the sphenoid sinus.
Key Words: Traumatic giant aneurysm; Epistaxis; Basal skull fracture; Carotid angiography
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