Massive Epistaxis From a Thrombosed Intracavernous Internal Carotid Artery Aneurysm 2 Years After the Initial Diagnosis : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 77-year-old woman presented with a rare case of nontraumatic intracavernous internal carotid artery (ICA) aneurysm causing epistaxis. The thrombosed aneurysm was discovered incidentally, and was not treated. However, she suffered massive nasal bleeding 22 months after the initial diagnosis. The lesion was successfully treated by endovascular coil embolization. The present case shows that thrombosed intracavernous ICA aneurysm may still carry the risk of rupture. Radiological evidence of erosion of the sphenoid sinus wall and repeated minor bleeding may be important predicting signs for massive nasal bleeding. Parent artery occlusion including the aneurysm may be the best treatment for intracavernous ICA aneurysms if sufficient collateral blood flow to the territory of the affected ICA is expected.
- 2010-02-15
著者
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KITAMURA Yoshihisa
Department of Neuropharmacology, Faculty of Pharmaceutical Sciences, Fukuoka University
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SHIMA Hiroshi
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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Kitamura Yoshihisa
Department Of Neurobiology Kyoto Pharmaceutical University
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Kitamura Yoshihisa
Department Of Neurosurgery Yokohama Sakae Kyosai Hospital
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NOMURA Motohiro
Department of Neurosurgery, Yokohama Sakae Kyosai Hospital
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SUGIHARA Takahiro
Department of Neurosurgery, Yokohama Sakae Kyosai Hospital
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FUKUI Issei
Department of Neurosurgery, Yokohama Sakae Kyosai Hospital
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Fukui Issei
Department Of Neurosurgery Yokohama Sakae Kyosai Hospital
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Nomura Motohiro
Department Of Neurosurgery Yokohama Sakae Kyosai Hospital
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Nomura Motohiro
Department Of Neurosurgery Kanazawa University School Of Medicine
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Sugihara Takahiro
Department Of Neurosurgery Yokohama Sakae Kyosai Hospital
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Shima Hiroshi
Department Of Neurosurgery Yokohama Sakae Kyosai Hospital
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Shima Hiroshi
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Shima Hiroshi
Department Of Civil Engineering The University Of Tokushima
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Shima Hiroshi
Department of Biological Safety Research, Japan Food Research Laboratories
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Kitamura Yoshihisa
Department of Clinical Pharmacy, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Japan
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