1990
DOI: 10.1097/00005373-199005000-00017
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Epistaxis due to Traumatic Intracavernous Aneurysm

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Cited by 17 publications
(11 citation statements)
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“…A traumatic cavernous internal carotid artery aneurysm (CICAA) is an even rarer complication of head injury, comprising less than 1-2% of all intracranial aneurysms (Handa and Handa, 1976). Since the first confirmed case by Cairns (1942), no more than 100 cases have been described in the literature (Lee and Wang, 1990). The hallmark of presentation of a CICAA is delayed epistaxis from 7 days to 39 years after head trauma with a mortality from epistaxis as high as 30 -50% (Chambers et al, 1981).…”
Section: Discussionmentioning
confidence: 99%
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“…A traumatic cavernous internal carotid artery aneurysm (CICAA) is an even rarer complication of head injury, comprising less than 1-2% of all intracranial aneurysms (Handa and Handa, 1976). Since the first confirmed case by Cairns (1942), no more than 100 cases have been described in the literature (Lee and Wang, 1990). The hallmark of presentation of a CICAA is delayed epistaxis from 7 days to 39 years after head trauma with a mortality from epistaxis as high as 30 -50% (Chambers et al, 1981).…”
Section: Discussionmentioning
confidence: 99%
“…This stage did not show yet on the CT scan. The initial trauma may give rise to a true (rupture through all layers of the vessel) or false aneurysm of the internal carotid artery depending on the degree of injury to the wall of the artery (Lee and Wang, 1990). The relatively fixed nature of the internal carotid artery at its entrance into, and exit from, the cavernous sinus may make it susceptible to injury here.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…These aneurysms might enlarge and produce a cavernous sinus syndrome with nerve compression, or they might secondarily rupture producing a CCF, and transdural leakage will lead to a subarachnoid hemorrhage. The most dangerous form, however, is a medial tear of the ICA with rupture into the sphenoid sinus causing massive and life-threatening epistaxis [26,29] (Fig. 7).…”
Section: Traumatic Aneurysmsmentioning
confidence: 99%
“…A triad of history of head injury, monocular blindness and epistaxis is usually found in these patients (Maurer et al, 1961). Although more than 100 cases of traumatic intracavernous ICA aneurysms have been reported in the world literature (Chambers et al, 1981;Simpson et al, 1988;Lee and Wang, 1990), the best management of this lesion remains unclear. We present a case of traumatic intracavernous ICA aneurysms managed by common carotid ligation.…”
Section: Introductionmentioning
confidence: 99%