scholarly journals Endosaccular coil embolization assisted by stent placement for internal carotid artery pseudo-aneurysm after trans-sphenoidal surgery for pituitary adenoma: a case report.

2008 ◽  
Vol 2 (1) ◽  
pp. 45-49 ◽  
Author(s):  
Kazuhisa IWAMOTO ◽  
Sachio SUZUKI ◽  
Akira KURATA ◽  
Ikuo KOBAYASHI ◽  
Takao SAGIUCHI ◽  
...  
Keyword(s):  
Case Report ◽  
Pituitary Adenoma ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Stent Placement ◽  
Coil Embolization ◽  
Internal Carotid ◽  
Pseudo Aneurysm

scholarly journals Recurrent epistaxis from inflamed granulated tissue and an associated pseudoaneurysm of the internal carotid artery: case report

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ja Yoon Kim ◽  
Yong Bae Kim ◽  
Joonho Chung
Keyword(s):  
Case Report ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Chronic Inflammation ◽  
Stent Placement ◽  
Internal Carotid ◽  
Rare Complication ◽  
Case Presentation ◽  
Recurrent Epistaxis ◽  
Inflamed Tissue

Abstract Background Chronic inflamed tissue in nasal cavity is a rare complication of transsphenoidal approach (TSA). Inflamed tissue is rich in blood vessels, which can lead to frequent nosebleeds. In addition, chronic inflammation can cause pseudoaneurysm, whose rupture results in massive epistaxis. There have been few reported cases of pseudoaneurysm of ICA occurring more than 10 years after TSA surgery. Case presentation We report a case of a patient who had recurrent epistaxis for over a decade after TSA surgery, and analyzed the causes of the nosebleeds. The aspect of occurrence of the nosebleeds and the result of biopsy and imaging tests suggest that the nosebleeds were due to chronic inflamed tissue and an associated pseudoaneurysm. The rupture of pseudoaneurysm recurred after treatment with stent placement, and brain abscess was developed. After removing the inflamed tissue by endoscopic resection, the patient no longer had recurrence of ruptured pseudoaneurysm or nosebleeds. Conclusions In patients with recurrent nosebleeds, the possibility of intranasal inflammation and subsequent pseudoaneurysm should be considered. Therefore, people who consistently have epistaxis after TSA, even if the bleeding is not in large amount, should be actively screened and treated for nasal chronic inflammation.

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