Posttraumatic epistaxis from injury to the pterygovaginal artery

Facial and skull base trauma can cause clinically significant epistaxis. Optimal evaluation and treatment require knowledge of the pertinent vascular and skull base anatomy. We describe a patient with extensive skull base injury and epistaxis in whom CT revealed a fracture through the roof of the na...

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Bibliographic Details
Published in:American journal of neuroradiology : AJNR 1996-06, Vol.17 (6), p.1148-1150
Main Authors: Borden, NM, Dungan, D, Dean, BL, Flom, RA
Format: Article
Language:English
Subjects:
Adolescent
Angiography
Biological and medical sciences
Case Reports
Embolization, Therapeutic
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Epistaxis - diagnostic imaging
Epistaxis - etiology
Epistaxis - therapy
Extravasation of Diagnostic and Therapeutic Materials - diagnostic imaging
Extravasation of Diagnostic and Therapeutic Materials - therapy
Facial Injuries - diagnostic imaging
Facial Injuries - therapy
Female
Humans
Maxillary Artery - diagnostic imaging
Maxillary Artery - injuries
Medical sciences
Pharynx - blood supply
Skull Base - blood supply
Skull Base - injuries
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
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Summary:Facial and skull base trauma can cause clinically significant epistaxis. Optimal evaluation and treatment require knowledge of the pertinent vascular and skull base anatomy. We describe a patient with extensive skull base injury and epistaxis in whom CT revealed a fracture through the roof of the nasopharynx and arteriography showed injury to the pterygovaginal (pharyngeal) artery. The fracture was successfully treated with transarterial particulate embolization.
ISSN:0195-6108
1936-959X