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Delayed massive epistaxis due to traumatic intracavernous carotid artery pseudoaneurysm

Published online by Cambridge University Press:  29 June 2007

J. D. Hern ,
S. C. Coley ,
L. J. Hollis  and
S. M. Jayaraj
J. D. Hern*
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
S. C. Coley
Affiliation:
Department of Diagnostic Radiology, Royal Postgraduate Medical School, Hammersmith Hospital, London, UK.
L. J. Hollis
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
S. M. Jayaraj
Affiliation:
Department of Otolaryngology, St Mary's Hospital, London, UK.
*
Address for correspondence: Mr. J. D. Hern, 4 Avondale Road, Mortlake, London SW14 8PT.
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Abstract

Recurrent epistaxes after head injury may rarely be dueto a traumatic intracavernous carotid artery pseudoaneurysm. The headinjury is usually associated with fracture of the skull base and the epistaxes are severe with the first episode generally occurring one to three months after the initial trauma. We present a case which illustrates the role of high resolution computed tomography (CT) scanningand also magnetic resonance angiography (MRA) in achieving the diagnosis.

Keywords

EpistaxisHead injuryCerebral aneurysm
Type
Radiology in Focus
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 4 , April 1998 , pp. 396 - 398
Copyright
Copyright © JLO (1984) Limited 1998

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