Poduval, J., Arokiaraj, M.C., Bhat, V. and Savery, N. (2013) Bilateral Sphenopalatine Artery Embolisation in Panfacial Fractures—A Case Report. International Journal of Collaborative Research on Internal Medicine & Public Health, 5, 0-0.

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.