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Giant bilateral cavernous-carotid aneurysms complicated by epistaxis
P-L Sadigh1, A Clifton2, A Toma3
1Plastic Surgery, Royal London Hospital, Whitechapel Road, E1 1BB, London, United Kingdom.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|January 19, 2016
Summary
Life-threatening epistaxis from ruptured carotid-cavernous aneurysms requires prompt intervention. Packing the sphenoid sinus with bone wax can manage recurrent bleeding while awaiting definitive neuro-radiological treatment.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Interventional Radiology
Background:
- Epistaxis from ruptured carotid-cavernous aneurysms eroding into the sphenoid sinus is a critical medical emergency.
- Endovascular techniques like parent vessel balloon/coil embolization are considered for unilateral cases.
- Bilateral cases have seen success with coiling and stenting to stabilize the aneurysm while maintaining arterial flow.
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