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一名复发性鼻出血患者的颈内动脉假性动脉瘤：病例报告及文献综述

Internal Carotid Artery Pseudoaneurysm in a Patient Presenting With Recurrent Epistaxis: A Case Report and Literature Review.

作者信息

Kim Hyejeen, Choi Ji Yun

机构信息

Department of Otolaryngology-Head and Neck Surgery, Chosun University College of Medicine, Gwangju, Republic of Korea.

出版信息

J Rhinol. 2024 Mar;31(1):46-51. doi: 10.18787/jr.2023.00072. Epub 2024 Mar 31.

DOI:10.18787/jr.2023.00072
PMID:39664042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11566536/
Abstract

Traumatic pseudoaneurysms are uncommon vascular lesions that can result from traumatic injuries to the nasal and facial areas. They pose a significant clinical challenge due to their potential to cause recurrent and life-threatening epistaxis. Understanding the underlying vascular anatomy, causes, and treatment options is essential for optimizing patient outcomes. In this case report, we present a 55-year-old man who developed a traumatic pseudoaneurysm of the sphenoid sinus, arising from the cavernous segment of the internal carotid artery following a traumatic incident. This case was successfully managed with stent-assisted coil embolization.

摘要

创伤性假性动脉瘤是一种罕见的血管病变，可由鼻面部创伤引起。由于其可能导致反复发生且危及生命的鼻出血，因此带来了重大的临床挑战。了解其潜在的血管解剖结构、病因及治疗选择对于优化患者治疗效果至关重要。在本病例报告中，我们介绍了一名55岁男性，在一次创伤事件后，其蝶窦出现了一个由颈内动脉海绵窦段引发的创伤性假性动脉瘤。该病例通过支架辅助弹簧圈栓塞术成功得到治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e3f2afc43acc/jr-2023-00072f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e735082df779/jr-2023-00072f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/375941ad74fb/jr-2023-00072f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/fdbac0d61910/jr-2023-00072f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e3f2afc43acc/jr-2023-00072f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e735082df779/jr-2023-00072f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/375941ad74fb/jr-2023-00072f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/fdbac0d61910/jr-2023-00072f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/538b/11566536/e3f2afc43acc/jr-2023-00072f4.jpg

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Internal Carotid Artery Pseudoaneurysm in a Patient Presenting With Recurrent Epistaxis: A Case Report and Literature Review.一名复发性鼻出血患者的颈内动脉假性动脉瘤：病例报告及文献综述
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本文引用的文献

1
Recurrent epistaxis from inflamed granulated tissue and an associated pseudoaneurysm of the internal carotid artery: case report.反复鼻出血源于炎症性肉芽组织和颈内动脉相关假性动脉瘤：病例报告。
BMC Neurol. 2021 Jun 3;21(1):215. doi: 10.1186/s12883-021-02254-0.
2
Embolization for treating posttraumatic pseudoaneurysm of the sphenopalatine artery.栓塞治疗创伤后蝶腭动脉假性动脉瘤
Arch Craniofac Surg. 2019 Aug;20(4):251-254. doi: 10.7181/acfs.2019.00227. Epub 2019 Aug 20.
3
Clinical characteristics of internal carotid artery pseudoaneurysms in the sphenoid sinus.
蝶窦内颈内动脉假性动脉瘤的临床特征
Am J Otolaryngol. 2019 Jan-Feb;40(1):106-109. doi: 10.1016/j.amjoto.2018.09.014. Epub 2018 Sep 19.
4
Post-traumatic Cavernous Carotid Pseudoaneurysm with Delayed Epistaxis.创伤后海绵窦段颈内动脉假性动脉瘤伴迟发性鼻出血
Cureus. 2018 Jul 19;10(7):e3002. doi: 10.7759/cureus.3002.
5
Traumatic intra-sphenoidal pseudoaneurysm lodged inside the fractured sphenoidal sinus.外伤性蝶窦内假性动脉瘤位于骨折的蝶窦内。
Acta Otorhinolaryngol Ital. 2016 Apr;36(2):149-52. doi: 10.14639/0392-100X-192913. Epub 2016 Apr 29.
6
Clinical Analysis of Traumatic Cerebral Pseudoaneurysms.创伤性脑假性动脉瘤的临床分析
Korean J Neurotrauma. 2015 Oct;11(2):124-30. doi: 10.13004/kjnt.2015.11.2.124. Epub 2015 Oct 31.
7
Intracavernous internal carotid artery pseudoaneurysm.海绵窦内颈内动脉假性动脉瘤
Singapore Med J. 2014 Oct;55(10):e165-8. doi: 10.11622/smedj.2014148.
8
Urgent treatment of severe symptomatic direct carotid cavernous fistula caused by ruptured cavernous internal carotid artery aneurysm using high-flow bypass, proximal ligation, and direct distal clipping: Technical case report.应用高流量搭桥、近端结扎及直接远端夹闭术紧急治疗海绵窦段颈内动脉动脉瘤破裂所致的严重症状性直接海绵窦瘘：技术病例报告
Surg Neurol Int. 2014 Apr 15;5:49. doi: 10.4103/2152-7806.130772. eCollection 2014.
9
Sphenopalatine artery pseudoaneurysm: a rare cause of intractable epistaxis after endoscopic sinus surgery.蝶腭动脉假性动脉瘤：内镜鼻窦手术后难治性鼻出血的罕见原因。
J Craniofac Surg. 2014 Mar;25(2):539-41. doi: 10.1097/SCS.0000000000000696.
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Massive epistaxis due to pseudoaneurysm of the sphenopalatine artery: a rare post-operative complication of orthognathic surgery.蝶腭动脉假性动脉瘤导致的大量鼻出血：正颌手术罕见的术后并发症。
J Laryngol Otol. 2013 Jun;127(6):610-3. doi: 10.1017/S0022215113000819. Epub 2013 Apr 22.