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Delayed massive epistaxis from traumatic intracranial aneurysm after blunt facial injury
- Source :
- Acute Medicine & Surgery
- Publication Year :
- 2016
- Publisher :
- John Wiley and Sons Inc., 2016.
-
Abstract
- Cases Traumatic intracranial aneurysm following blunt head injury is uncommon but can be induced by extension of skull base fracture and causes unexpected hemorrhagic complications. We present two cases of traumatic intracranial aneurysm in the paraclinoid area that was revealed by delayed massive epistaxis. Lack of initial neurological deficits omitted screening for cerebrovascular injury. Outcome Internal trapping was carried out using endovascular techniques in both cases, with extracranial–intracranial bypass in one case. No recurrent bleeding occurred in either case. Conclusion To prevent unexpected delayed life-threatening hemorrhagic accidents, careful assessment of skull-base fracture is prerequisite, even in cases of mild facial injury.
- Subjects :
- medicine.medical_specialty
business.industry
Head injury
General Engineering
030208 emergency & critical care medicine
Case Report
Case Reports
medicine.disease
Surgery
endovascular trapping
Blunt facial injury
03 medical and health sciences
0302 clinical medicine
Blunt
Skull base fracture
Aneurysm
traumatic intracranial aneurysm
Facial injury
Hemorrhagic complication
Recurrent bleeding
medicine
extracranial–intracranial bypass
massive epistaxis
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20528817
- Volume :
- 4
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Acute Medicine & Surgery
- Accession number :
- edsair.doi.dedup.....502448094cce24a267c1cada6284925b