ABSTRACT
A fifty-seven-year-old male farmer with a history of cerebral infarctions twice in the past without any functional disability stopped prescribed antithrombotics and regular medical follow-up. He had sudden left hemiplegia after the work, and was taken to our hospital. A contrast-enhanced computed tomography (CT) scan showed infarction at the right basal ganglia, occlusion of the internal carotid artery and the left vertebral artery, and mural thrombus in the ascending aorta. Mural thrombus in the ascending aorta was suspected to be the causative thrombus of other infarctions. He was started on continuous heparin infusion on the day of presentation, and had ascending aortic replacement surgery on day 24. No perioperative complication was confirmed. He was extubated on postoperative day (POD) 1, and was transferred to another rehabilitation hospital with almost no functional disability. No thrombotic event was confirmed as of POD 180.
ABSTRACT
This paper reported the method of the subclinoid part of the internal carotid artery break in to sphenoidal sinus. Materials and Methods: The 3 cases suffered from parabasal fractures of the skull during head trauma. The false aneurysm of the subclinoid part of the internal carotid artery broke into sphenoidal sinus and caused fatal nasal hemorrhages. Selective internal carotid arteriographies were made through femoral artery, approach. BALTs were put into the ruptured places of the arteries after di agnoses were confirmed. Results: In the above cases the internal carotid arteries were occluded and profuse nasal hemorrhages stopped and did not appear again in the follow up period (6 months-3 years) . Conclusion: The method presented in the paper is a simple, safe and reliable one for the treatment of profuse nasal bleeding caused by parabasal fractures of the skull.