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Recurrent epistaxis from inflamed granulated tissue and an associated pseudoaneurysm of the internal carotid artery: case report
DC Field | Value | Language |
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dc.contributor.author | 김용배 | - |
dc.contributor.author | 정준호 | - |
dc.date.accessioned | 2021-09-29T01:31:08Z | - |
dc.date.available | 2021-09-29T01:31:08Z | - |
dc.date.issued | 2021-06 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/184408 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | BioMed Central | - |
dc.relation.isPartOf | BMC NEUROLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aneurysm, False* | - |
dc.subject.MESH | Carotid Artery, Internal / physiopathology* | - |
dc.subject.MESH | Epistaxis* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Recurrence | - |
dc.title | Recurrent epistaxis from inflamed granulated tissue and an associated pseudoaneurysm of the internal carotid artery: case report | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Ja Yoon Kim | - |
dc.contributor.googleauthor | Yong Bae Kim | - |
dc.contributor.googleauthor | Joonho Chung | - |
dc.identifier.doi | 10.1186/s12883-021-02254-0 | - |
dc.contributor.localId | A00743 | - |
dc.contributor.localId | A03731 | - |
dc.relation.journalcode | J00368 | - |
dc.identifier.eissn | 1471-2377 | - |
dc.identifier.pmid | 34082741 | - |
dc.subject.keyword | Brain abscess | - |
dc.subject.keyword | Case report | - |
dc.subject.keyword | Epistaxis | - |
dc.subject.keyword | Granulation | - |
dc.subject.keyword | ICA pseudoaneurysm | - |
dc.contributor.alternativeName | Kim, Yong Bae | - |
dc.contributor.affiliatedAuthor | 김용배 | - |
dc.contributor.affiliatedAuthor | 정준호 | - |
dc.citation.volume | 21 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 215 | - |
dc.identifier.bibliographicCitation | BMC NEUROLOGY, Vol.21(1) : 215, 2021-06 | - |
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