Traumatic intracranial internal carotid artery pseudoaneurysm presenting as epistaxis treated by endovascular coiling

Authors

• Hosam M. Al-Jehani
• Hassan A. Alwadaani
• Fadhel M. Almolani

Abstract

Traumatic intracranial pseudoaneurysm is a rare complication of blunt trauma. It is even more rare when it presents as epistaxis. Massive epistaxis of a ruptured intracranial internal carotid artery pseudoaneurysm is a major cause of mortality, which requires emergency intervention. We report a case of traumatic intracranial internal carotid artery pseudoaneurysm secondary to skull base fracture, which presented with delayed onset of epistaxis. This was successfully treated by primary endovascular coil embolization. We discuss endovascular treatment options and review the literature.

Article Type

Case Report

First Page

60

Last Page

63

Recommended Citation

Al-Jehani, Hosam M.; Alwadaani, Hassan A.; and Almolani, Fadhel M. (2016) "Traumatic intracranial internal carotid artery pseudoaneurysm presenting as epistaxis treated by endovascular coiling," Neurosciences: Vol. 21: Iss. 1, Article 12.
DOI: https://doi.org/10.17712/nsj.2016.1.20150514