Traumatic giant aneurysm of the intracavernous internal carotid artery causing fatal epistaxis: case report

J Trauma. 1994 Apr;36(4):565-7. doi: 10.1097/00005373-199404000-00018.


A patient with a giant intracavernous carotid aneurysm usually has symptoms and signs of a space-occupying lesion, producing one of a variety of types of cavernous sinus syndromes. Epistaxis is an unusual feature in these patients. A patient who noted the onset of repeated arterial epistaxis 2 years after a severe head injury was found to have a traumatic aneurysm of the cavernous portion of internal carotid artery. After angiography, he suddenly developed profuse, pulsatile, arterial epistaxis and had a cardiopulmonary arrest. This case and a review of previously reported cases emphasize the importance of early cerebral angiography in patients with posttraumatic recurrent epistaxis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aneurysm / complications*
  • Carotid Artery Diseases / complications*
  • Carotid Artery, Internal
  • Epistaxis / etiology*
  • Epistaxis / therapy
  • Fatal Outcome
  • Head Injuries, Closed / complications*
  • Humans
  • Male
  • Skull Fractures / complications