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Related Experiment Video

Updated: Mar 27, 2026

Lateral Fluid Percussion: Model of Traumatic Brain Injury in Mice

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Published on: August 22, 2011

[Epistaxis following skull trauma].

Roland P Nooij¹, J M C Marc van Dijk, Rob J M Groen

¹Universitair Medisch Centrum Groningen, Universiteit Groningen.

Nederlands Tijdschrift Voor Geneeskunde

|January 7, 2016

Summary

This summary is machine-generated.

Delayed epistaxis after head injury may signal a serious internal carotid artery (ICA) injury. Prompt diagnosis and endovascular treatment are crucial for potentially life-threatening cases.

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Area of Science:

Neurology
Vascular Surgery
Trauma Surgery

Background:

Epistaxis (nosebleed) is common, often benign.
However, it can indicate severe underlying conditions.
Post-traumatic epistaxis requires careful evaluation.

Observation:

A young male with head injury and fractures developed recurrent epistaxis.
Investigations revealed an extradural dissecting aneurysm of the internal carotid artery (ICA) into the sphenoid sinus.
This rare complication followed conservative treatment for craniofacial and base-of-skull fractures.

Findings:

Endovascular treatment, including coiling and stenting, successfully managed the ICA aneurysm.
The case highlights the importance of considering vascular injury in delayed post-traumatic epistaxis.
Diagnostic workup should include advanced imaging for suspected arterial injury.

Implications:

Physicians must consider internal carotid artery (ICA) trauma in delayed epistaxis post-head injury.
This condition is potentially life-threatening and necessitates urgent medical intervention.
Early recognition and endovascular management can prevent catastrophic outcomes.