Sphenopalatine Artery Pseudoaneurysm Formation Following Facial Trauma: A case Report and Literature Review

被引：1

作者：

El Naamani, Kareem ^{[1
]}

Capone, Stephen ^{[2
]}

Chen, Ching-Jen ^{[1
]}

Tartaglino, Lisa ^{[3
]}

Rosen, Marc ^{[4
]}

Abbas, Rawad ^{[1
]}

Sioutas, Georgios S. ^{[1
]}

Amllay, Abdelaziz ^{[1
]}

Hunt, Adam ^{[1
]}

Gooch, Michael R. ^{[1
]}

Herial, Nabeel A. ^{[1
]}

Jabbour, Pascal ^{[1
]}

Rosenwasser, Robert H. ^{[1
]}

Tjoumakaris, Stavropoula I. ^{[1
,5
]}

机构：

[1] Thomas Jefferson Univ Hosp, Dept Neurol Surg, Philadelphia, PA USA

[2] Virginia Tech Caril Res Inst, Dept Neurol, Roanoke, VA USA

[3] Thomas Jefferson Univ Hosp, Dept Neuroradiol Head & Neck Imaging Radiol, Philadelphia, PA USA

[4] Thomas Jefferson Univ Hosp, Dept Otolaryngol Head & Neck Surg, Philadelphia, PA USA

[5] Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USA

来源：

INTERDISCIPLINARY NEUROSURGERY-ADVANCED TECHNIQUES AND CASE MANAGEMENT | 2023年 / 32卷

关键词：

Pseudoaneurysm; Sphenopalatine artery; Onyx; Embolization; INTERNAL MAXILLARY ARTERY; EPISTAXIS; ANEURYSM; EMBOLIZATION; HEMORRHAGE; OSTEOTOMY;

D O I：

10.1016/j.inat.2023.101741

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Facial fractures, specifically orbitozygomatic and zygomaticomaxillary complex fractures, are well-documented and common injuries. Pseudoaneurysm formation following cerebrovascular blunt trauma is a rarely experienced complication with an incidence rate of less than 1% with only a few cases reported in the literature. Traumatic pseudoaneurysm formation of the sphenopalatine artery (SPA), the deepest branch of the maxillary artery, is extremely rare due to the deep location of the SPA and its protection from bony landmarks. In craniofacial trauma, pseudoaneurysm formation is not apparent on physical examination due to its deep location and usually presents as persistent nasal bleeding. SPA pseudoaneurysms can present as complications of surgical osteotomies, endoscopic sinus surgeries, facial trauma, or even as a progression of nasopharyngeal cancer. Endovascular embolization provides, safe, quick, and effective treatment while minimizing the morbidity of extensive surgical exposure. In this case report we describe a sphenopalatine artery pseudoaneurysm formation post trauma to provide insight to these rare entities and highlight the importance of early detection and treatment.

引用

页数：5

共 22 条

[1] Pseudoaneurysm of the internal maxillary artery: A case report of facial trauma and recurrent bleeding [J].