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- Title
Use of Dyna CT in evaluation and treatment of pseudoaneurysm secondary to craniofacial tumor resection: Case report and diagnostic implications.
- Authors
Patel, Akil P.; Gandhi, Dheeraj; Taylor, Rodney J.; Woodworth, Graeme
- Abstract
Background: Digital subtraction angiography (DSA) is considered the gold standard for the evaluation of head and neck vascular abnormalities. It serves as a useful diagnostic and, in many cases, therapeutic tool for treatment of acute head and neck bleeding. Case Description: We report the case of a patient who presented with life threatening, uncontrollable epistaxis several weeks after resection of a large recurrent chondrosarcoma of the nasal cavity and anterior skull base. A DSA study, with an adjunctive C-arm computed tomography (CT) (Dyna CT), was ultimately helpful in revealing and precisely localizing a large anterior ethmoidal artery pseudoaneurysm adjacent to the tumor resection cavity. Conclusion: This additional information helped define the arterial anatomy in postoperative region, allowed precise localization and direct ligation of the pseudoaneurysm to resolve the bleeding with a favorable patient outcome.
- Subjects
DIGITAL subtraction angiography; CHONDROSARCOMA; SOFT tissue tumors; HEAD abnormalities; NECK abnormalities; FALSE aneurysms
- Publication
Surgical Neurology International, 2014, Vol 5, Issue 1, p228
- ISSN
2229-5097
- Publication type
Case Study
- DOI
10.4103/2152-7806.130561