Endovascualr Treatment for Traumatic Giant Pseudoaneurysm of Internal Carotid Artery.

Lee, Myeong Sub; Kim, Young Ju; Kim, Myung Soon; Park, Jeong Mee; Hong, Soon Ki; Whang, Kum

Case Report

Journal of Korean Neurosurgical Society 2002;31(4): 369-372.

Myeong Sub Lee, Young Ju Kim, Myung Soon Kim, Jeong Mee Park, Soon Ki Hong, Kum Whang

¹Department of Radiology, Yonsei University Wonju College of Medicine, Wonju, Korea.
²Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea.
³Department of Neurosurgery, Yonsei University Wonju College of Medicine, Wonju, Korea.

ABSTRACT

Traumatic pseudoaneurysms of the cavernous portion of the internal carotid artery(ICA) presenting with epistaxis are uncommon and potentially lethal complication of head injury. Because the onset of delayed bleeding from the time of injury is variable, prompt diagnosis and treatment of cavernous ICA pseudoaneurysm is important. A patient with a giant traumatic pseudoaneurysm of the left ICA presented with massive epistaxis 5 months after a head trauma. This patient was treated with occlusion of the opening of pseudoaneurysm and ICA by a detachable balloon and fibered coils.

Key Words: Traumatic aneurysm; Head injury; Epistaxis; Balloon occlusion