The diagnosis and treatment of pseudoaneurysm of internal carotid artery in sphenoid sinus(a report of 7 cases)

Abstract

Objective:To explore the clinical characteristics,diagnosis methods and treatment of sphenoid sinus internal jugular pseudoaneurysms.Method:Data of 7 cases were retrospectively studied from March 1995 to January 2015.Result:There were five cases had recurrent nasal bleeding, two cases suffered monocular blindness, and one case was blind of both eyes.There was a clear history of head injury in five cases. Four patients were treated with coated stent intervention treatment, one case lost followup, one case suffered right internal carotid artery isolation technique and routine clipping common carotid arteries, and one case was performed emergency right internal carotid artery embolism. Three out of four cases were recovered, and one case occurred hemiplegia.Conclusion:With the history of head injury, recurrent nasal bleeding or stuff with blood, or blindness, the diagnosis of internal carotid artery pseudoaneurysms should be taken into account, and the MRI, MRA and DSA examination are necessary.