Severe Traumatic Brain Injury with Sphenopalatine Artery Ruptured: Case Report and Review of the Literature
| Autor: | Sofia El Akroud, Yao Christian Hugues Dokponou, Fernand Nathan Imoumby, Miloudi Gazzaz, Napoléon Imbunhe, Adil Belhachmi |
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| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Open Journal of Modern Neurosurgery. 11:204-209 |
| ISSN: | 2163-0585 2163-0569 |
| DOI: | 10.4236/ojmn.2021.113024 |
| Popis: | Emergency endovascular procedure for external carotid exclusion is required to save patients with life-threatening massive epistaxis from a ruptured sphenopalatine artery secondary to severe traumatic brain injury. We report a case of a 20-year-old pedestrian admitted with a severe traumatic brain injury (TBI) secondary to an automobile (a lorry) road accident at high velocity. He presented to the emergency room in a coma with a Glasgow coma scale of 6/15 and massive epistaxis. He underwent emergency stabilization by sedation and was intubated. Body CT-Scan shows fracture of the palatine and pterygoid plate and multiple fractures of the skull with intracranial right frontal lobe hematoma. CT-Angiography was done immediately and confirmed a rupture of the sphenopalatine artery. The patient died of massive epistaxis while waiting for the endovascular procedure. This is a rare clinical case that needs unusual emergency endovascular management. Arterial embolization in emergency settings should be thought in front of any patient with persistent post-traumatic nose bleeding and be carried out as soon as possible to save the patient’s life. |
| Databáze: | OpenAIRE |
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