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  • Title: Traumatic giant aneurysm of the intracavernous internal carotid artery causing fatal epistaxis: case report.
    Author: Ildan F, Uzuneyüpoğlu Z, Boyar B, Bağdatoğlu H, Cetinalp E, Karadayi A.
    Journal: J Trauma; 1994 Apr; 36(4):565-7. PubMed ID: 8158721.
    Abstract:
    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.
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