Abstract
A giant, wide-necked pseudoaneurysm of the cavernous internal carotid artery (ICA) was found in a 17-year-old male patient who had suffered a high impact car accident. Four months after the accident, he presented with diplopia and facial pain associated with severe epistaxis. Coil occlusion of the aneurysm was performed and stopped the bleeding. One week later, a control DSA was carried out. Recanalization of the aneurysm due to coil compaction was observed, for which a Pipeline Embolization Device was implanted. The patient had a complete clinical recovery, and follow-up examinations confirmed aneurysm occlusion. Two years later, he presented to the emergency department with a coil protruding through his nostril. The actions taken following this event are explained below. The management of posttraumatic cavernous ICA aneurysms is the main topic of this chapter.
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Lylyk, I., Viso, R., Scrivano, E., Lundquist, J., Lylyk, P. (2020). Cavernous Internal Carotid Artery Aneurysm: Giant Posttraumatic Carotid Cavernous Pseudoaneurysm, Presenting with Epistaxis; Treated in Two-Stage Strategy with Complete Occlusion and Delayed Coil Extrusion Through the Nostril. In: Henkes, H., Lylyk, P., Ganslandt, O. (eds) The Aneurysm Casebook. Springer, Cham. https://doi.org/10.1007/978-3-319-77827-3_167
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DOI: https://doi.org/10.1007/978-3-319-77827-3_167
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