| Internal carotid artery pseudoaneurysm with life-threatening epistaxis as a complication of deep neck space infection. | |
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MedLine Citation:
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PMID: 21546808 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Pseudoaneurysm of the cervical internal carotid artery is a very rare, potentially fatal complication of a neck space infection in children associated with high mortality and morbidity. A 3-year-old boy presented with spontaneous massive epistaxis 45 days after a deep neck space infection caused by a peritonsillar abscess. During nasopharyngeal packing, he evolved with cardiac arrest. Intra-arterial angiography was then performed that revealed a large pseudoaneurysm. Endovascular treatment using detachable balloons achieved complete exclusion of the pseudoaneurysm. The child made an uneventful recovery and was discharged with mild left hemiparesis and no deficit of sensory or cognitive functions. Pseudoaneurysms of the internal carotid artery after a deep neck space infection can be associated with delayed and potentially fatal massive epistaxis. Furthermore, a regional (ie, extranasal) blood vessel should be promptly investigated when there are signs of hypovolemic shock. A high level of suspicion and definitive treatment are essential for successful management of these patients. |
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Authors:
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Paulo Sérgio Lucas da Silva; Daniel Reis Waisberg |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Pediatric emergency care Volume: 27 ISSN: 1535-1815 ISO Abbreviation: Pediatr Emerg Care Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-05-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8507560 Medline TA: Pediatr Emerg Care Country: United States |
Other Details:
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Languages: eng Pagination: 422-4 Citation Subset: IM |
Affiliation:
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From the Pediatric Intensive Care Unit, Hospital Brigadeiro, São Paulo, Brazil. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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