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Indian Journal of Neurotrauma 2016; 13(02): 116-119
DOI: 10.1055/s-0036-1586739
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Posttraumatic Internal Carotid Artery Pseudoaneurysm: Endovascular Management by Stent–Graft Placement

Vivek Agarwal
1   Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
R. V. Phadke
1   Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Vivek Singh
1   Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
Further Information

Publication History

08 May 2016

13 July 2016

Publication Date:
04 August 2016 (online)

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Abstract

Intracavernous internal carotid artery (ICA) pseudoaneurysms are extremely rare among isolated sphenoid fractures. We report a case of a 28-year-old man who suffered from neurotrauma due to a fall of the ceiling fan over the head and subsequently developed headache with recurrent episodes of profuse epistaxis for the next 10 days. Magnetic resonance angiography revealed a large pseudoaneurysm involving intracavernous ICA. The patient underwent emergent digital subtraction angiography and a covered stent graft was used to reconstruct the ICA. Patient was discharged 5 days later completely asymptomatic and was called up for follow-up after 3 months. This case report highlights the importance of high index of suspicion of vascular injury and emergent endovascular treatment to prevent mortality in base of skull fractures.

Keywords

intracavernous internal carotid artery - stent graft - epistaxis - pseudoaneurysm
 

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