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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. |
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| ABSTRACT |
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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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