Triad of Unilateral Blindness, Orbital Fractures and Massive Epistaxis after Head Injury

Abstract

Closed intratendinous ruptures of flexor tendons are uncommon. Two such cases that occurred within the lumbrical origin are reported. Accurate history taking and clinical examination usually enable the site of rupture to be determined. Ultrasound examination can also help to localize the site. The role of the lumbrical, extrinsic flexors and trauma in the aetiology of the rupture are discussed. Acute suppurative tenosynovitis of the hand Diagnosis with ultrasound. Radwlogv 162,741-2. 13. KHALEGHIAN R., TONKIN L. J. et al. (1984) Ultrasonic examination of the flexor tendons of the fingers. J. Clin. Ultrasound 12,547-51. AWL NZ.

Severe Epistaxis Caused by Ruptured Aneurysm of the Internal Carotid Artery

“…As noted in Table 1, trauma is a feature in many of the reported cases. Trauma, alone without a cavernous-carotid ancurysm, may produce many of the findings that occur in cases of aneurysm, as has been well sunlmarized recently by Maurer et al 32 Weaver et al 49 attributed such hemorrhage to the production of a "false" aneurysm following a tear in the internal carotid artery. As several of the reported cases had no history of trauma, trauma alone cannot be evoked to explain all of the aneurysms.…”

Posttraumatic pseudoaneurysm of the intracavernous internal carotid artery presenting with massive epistaxis

“…The Maurer's triad, which consists of unilateral blindness, orbital fracture, and massive epistaxis, is observed in some cases and is considered pathognomonic for ICA pseudoaneurysms (15). However, Shirai et al propose the presence of repeated epistaxis, unilateral visual disturbance, bruit, and anterior basal skull fracture as the most important signs of this condition (14).…”

Traumatic Lesions of the Bilateral Middle Meningeal Arteries. Case Report.

“…6) A case with epistaxis may be fatal. 2) If a patient presents with anterior skull base fracture extending to the anterior clinoid process and unilateral vision disorder, we suspect traumatic injury of the internal carotid artery and perform magnetic resonance angiography or cerebral angiography.…”