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Alderazi, Y.J., Cruz, G.M., Kass-Hout, T., Prestigiacomo, C.J., Duffis, E.J. and Gandhi, C.D. (2015) Endovascular Therapy for Cerebrovascular Injuries after Head and Neck Trauma. Trauma, 7, 258-269.
https://doi.org/10.1177/1460408615573884

has been cited by the following article:

• TITLE: Severe Traumatic Brain Injury with Sphenopalatine Artery Ruptured: Case Report and Review of the Literature

  AUTHORS: Adil Belhachmi, Yao Christian Hugues Dokponou, Fernand Nathan Imoumby, Napoléon Imbunhe, Sofia El Akroud, Miloudi Gazzaz

  KEYWORDS: Traumatic Brain Injury, Sphenopalatine Artery, Endovascular

  JOURNAL NAME: Open Journal of Modern Neurosurgery, Vol.11 No.3, July 23, 2021

  ABSTRACT: 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.