Extracranial-intracranial high-flow bypass for post-traumatic cavernous carotid pseudo-aneurysm presenting with epistaxis: Case report

We present a case of posttraumatic cavernous carotid pseudo-aneurysm presenting with epistaxis, in which microsurgical treatment was the treatment of choice as endovascular treatment was perceived to be too risky because of a bone fragment impinging on the wall of the aneurysm. The patient was succe...

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Bibliographic Details
Published in:Neurology India 2019-03, Vol.67 (2), p.485-490
Main Authors: Kankane, Vivek, Warade, Abhijeet, Misra, Basant
Format: Article
Language:English
Subjects:
Aneurysm
Aneurysms
Brain surgery
Care and treatment
Carotid arteries
Case reports
Case studies
Consent
Diagnosis
Fractures
Head injuries
Hemorrhage
Medical imaging
Nosebleed
Patients
Sinuses
Trauma
Veins & arteries
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Summary:We present a case of posttraumatic cavernous carotid pseudo-aneurysm presenting with epistaxis, in which microsurgical treatment was the treatment of choice as endovascular treatment was perceived to be too risky because of a bone fragment impinging on the wall of the aneurysm. The patient was successfully managed by a high-flow, radial artery, external carotid artery-middle cerebral artery bypass and trapping of the internal carotid artery. The patient was discharged one week later without any further episode of hemorrhage.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.257994