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Epistaxis due to traumatic intracavernous aneurysm: case report
The Journal of Trauma
|May 1, 1990
Summary
A blunt head injury caused a traumatic internal carotid artery aneurysm, leading to nosebleeds and vision loss. Prompt cerebral angiography is crucial for diagnosing and treating such post-traumatic vascular injuries.
Area of Science:
- Neuroscience
- Vascular Surgery
- Trauma Surgery
Background:
- Blunt head trauma can cause delayed vascular complications.
- Internal carotid artery aneurysms are rare but serious consequences of head injuries.
Observation:
- A patient presented with recurrent epistaxis and unilateral visual impairment two months post-head injury.
- Imaging revealed a traumatic aneurysm in the cavernous portion of the internal carotid artery.
Findings:
- The patient's epistaxis and visual deficits resolved after a successful arterial trapping procedure.
- Review of similar cases highlights a pattern of delayed presentation.
Implications:
- Early cerebral angiography is vital for patients with epistaxis and visual failure after head trauma.
- Prompt diagnosis and intervention can prevent severe neurological deficits.
- This case underscores the importance of considering vascular injury in delayed post-traumatic symptoms.