Multiple intracranial aneurysms presenting with epistaxis

Honeybul, Stephen; Barker, Simon; Poitelea, Cornelia; Ditchfield, Adam

doi:10.1016/j.jocn.2005.05.012

Cited by 7 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…17,18) A total of 16 cases of ruptured ICA aneurysms in the paranasal sinuses causing epistaxis have been previously reported (Table 1). [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] The mean age of the 17 patients, including the patients in this case report (12 women and 5 men), was 62.8 years. The aneurysms were localized in the sphenoid sinus in 16 cases and the ethmoid sinus in 2 cases.…”

Section: Discussionmentioning

confidence: 99%

“…Until now, seven patients with a paranasal sinus aneurysm, who were treated with intravascular surgery, have been reported. [7][8][9][10][11]13,16) Among them, five were treated using coil embolization alone as the initial treatment 7,10,11,15,16) and two were treated using a combination of coil embolization and stent placement. 8,13) Of the five patients treated with coil embolization alone, only one showed a good outcome, 7) whereas the remaining four showed aneurysm recurrence and subsequently underwent additional treatment, which was a combination of coil embolization and stent placement or flow diverter placement.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 16 cases of a nontraumatic internal carotid artery (ICA) aneurysm within the paranasal sinus have been reported to cause epistaxis. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Among these cases, 15 aneurysms were located in the sphenoid sinus, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] whereas 1 was in the ethmoid sinus. 16) We reported the first case of nontraumatic double ICA aneurysms within the sphenoid and ethmoid sinuses, which were successfully treated with endovascular intra-aneurysmal coil embolization.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Nontraumatic Internal Carotid Aneurysms in the Paranasal Sinuses Presenting with Epistaxis: A Case Report

Yonemochi

Sorimachi

Hirayama

et al. 2022

NMC Case Report Journal

View full text Add to dashboard Cite

Epistaxis due to rupture of a nontraumatic internal carotid artery (ICA) aneurysm in the paranasal sinus has rarely been reported. Here, we report a case of double ICA aneurysms located within both the sphenoid and ethmoid sinuses. A 78-year-old woman presented with recurrent massive epistaxis. Magnetic resonance angiogram (MRA) and cerebral angiogram showed two ICA aneurysms: one protruded into the sphenoid sinus and the other protruded into the ethmoid sinus. Intra-aneurysmal coil embolization was performed for both aneurysms. The patient recovered completely, and a follow-up MRA 3 years later showed no recurrence of the aneurysms. Intra-aneurysmal coil embolization is an option of treatment for an ICA aneurysm filling the paranasal sinus.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nontraumatic Internal Carotid Aneurysms in the Paranasal Sinuses Presenting with Epistaxis: A Case Report

Yonemochi

Sorimachi

Hirayama

et al. 2022

NMC Case Report Journal

View full text Add to dashboard Cite

show abstract

“… 3 15) The epistaxis is massive in these cases, and may be life threatening. 1 3 6 10 13) Also, unilateral vision loss is common due to hemorrhage in the cavernous sinus. 1 3) Angiographic study of the carotid artery is indicated in these cases with a presentation of subarachnoid hemorrhage, basal skull fracture and epistaxis.…”

Section: Discussionmentioning

confidence: 99%

“…Cases treated are mostly large and giant sized aneurysms with symptoms due to compression of the cranial nerves. 6) Traumatic cavernous ICA pseudoaneurysms are also rare, but require definite treatment due to a higher rupture and re-bleeding risk. The higher risk is mainly because of two reasons: the wall of a pseudoaneurysm is histologically weaker and thus more susceptible to rupture, and pseudoaneurysms are once ruptured aneurysms, by definition.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Traumatic Cerebral Pseudoaneurysms

Moon

Kim

Lee

et al. 2015

Korean J Neurotrauma

View full text Add to dashboard Cite

ObjectiveTraumatic pseudoaneurysms are rare but life-threatening lesions. We investigated the patients with these lesions to clarify their clinical characteristics and therapeutic strategies and we also reviewed the literatures on the treatment principles, possible options, and outcomes.MethodsThere were a total of 8 patients who were treated with traumatic intracranial pseudoaneurysms between April 1980 and January 2009. Medical charts and the imaging studies were reviewed for analysis. The outcome was measured with modified Rankin Scale (mRS) score at 6 months after treatment.ResultsAll 8 patients were male and the mean age was 25 years old. Six of those were located at the cavernous segment of the internal carotid artery (ICA) and the other 2 was located at the M2 segment of middle cerebral artery. The causes of trauma were car accidents in 6, penetrating injury through the orbit in 1, and slip down injury in 1 patient. Massive epistaxis or hematemesis occurred in all patients with a pseudoaneurysm at the cavernous and ophthalmic segment of the ICA. All 6 patients of the cavernous and ophthalmic ICA group showed favorable outcome of mRS 0 to 1. The outcome of patients with middle cerebral artery pseudoaneurysm was mRS 2 to 3.ConclusionUpon prompt diagnosis and proper treatment planning, it is possible to achieve favorable outcome in these patients. Lesions located at the cavernous segment of the ICA favored endovascular treatment while those at the middle cerebral artery favored surgical treatment.

show abstract

Epistaxis revealing the rupture of a carotid aneurysm of the cavernous sinus extending into the sphenoid: treatment using an uncovered stent and coils. Review of literature

Lehmann

Saliou

Page

et al. 2008

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

True carotid aneurysms with sphenoid extension and revealed by epistaxis are rare. A review of the literature shows the mortality risk of this pathology and the different therapeutic options. A 41-year-old female presented with a cavernous carotid aneurysm with sphenoid extension revealed by massive epistaxis. We propose a combined treatment of the affected vessel using coils and an uncovered stent. The first stage to stop the hemorrhages and occlude the aneurysm using the coil and the second stage several days later after anticoagulation using the stent to prevent revascularization. This treatment has been shown to be effective in producing immediate hemostasis and stable long-term occlusion.

show abstract

Multiple intracranial aneurysms presenting with epistaxis

Cited by 7 publications

References 17 publications

Nontraumatic Internal Carotid Aneurysms in the Paranasal Sinuses Presenting with Epistaxis: A Case Report

Nontraumatic Internal Carotid Aneurysms in the Paranasal Sinuses Presenting with Epistaxis: A Case Report

Clinical Analysis of Traumatic Cerebral Pseudoaneurysms

Epistaxis revealing the rupture of a carotid aneurysm of the cavernous sinus extending into the sphenoid: treatment using an uncovered stent and coils. Review of literature

Contact Info

Product

Resources

About