Abstract
The authors describe a 25-year old patient with blunt trauma-induced bilateral, distal segment internal carotid artery (ICA) lacerations, resulting in a left-sided direct carotid-cavernous sinus fistula (CCF) and presenting with massive oronasal bleeding. The combination of severe oronasal bleeding, with air in the carotid canal should alarm the treating physician to the presence of a distal internal carotid artery laceration.
MeSH terms
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Accidents, Traffic
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Adult
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Bicycling
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Carotid Artery Injuries / diagnosis
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Carotid Artery Injuries / etiology*
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Carotid Artery, Internal / pathology
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Carotid Artery, Internal / physiopathology
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Cavernous Sinus / diagnostic imaging
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Cavernous Sinus / injuries*
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Cavernous Sinus / pathology
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Central Nervous System Vascular Malformations / diagnosis
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Central Nervous System Vascular Malformations / etiology*
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Central Nervous System Vascular Malformations / physiopathology
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Cerebral Angiography
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Embolism, Air / diagnosis
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Embolism, Air / etiology*
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Embolism, Air / physiopathology
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Embolization, Therapeutic
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Epistaxis / etiology
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Facial Bones / diagnostic imaging
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Facial Bones / injuries
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Facial Bones / pathology
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Fatal Outcome
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Head Injuries, Closed / complications*
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Humans
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Lacerations / diagnosis
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Lacerations / etiology
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Lacerations / physiopathology
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Male
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Mouth / physiopathology
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Paranasal Sinuses / diagnostic imaging
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Paranasal Sinuses / injuries
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Paranasal Sinuses / pathology
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Predictive Value of Tests
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Skull Base / diagnostic imaging
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Skull Base / injuries*
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Skull Base / pathology
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Skull Fracture, Basilar / diagnostic imaging
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Skull Fracture, Basilar / etiology
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Skull Fracture, Basilar / pathology
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Tomography, X-Ray Computed
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Treatment Failure