Abstract:
:A three-year old girl who initially presented at 16 months with epistaxis from an anterior skull base vascular anomaly returned with near-fatal epistaxis despite embolization of the internal maxillary artery at the time of initial presentation. Repeat angiography demonstrated blood supply to the vascular lesion coming from branches of both the external and internal carotid arteries. The patient underwent four sessions of endovascular embolization with polyvinyl alcohol, alcohol, and gelatin microspheres. At the conclusion of treatment, her epistaxis had resolved and the only residual blood supply to the lesions came from bilateral ophthalmic arteries intentionally not sacrificed to prevent loss of vision. Endovascular embolization of both the internal and external carotid arteries is a challenging but important treatment option for life-threatening epistaxis resulting from vascular lesions of the skull base.
journal_name
Pediatr Neurosurgjournal_title
Pediatric neurosurgeryauthors
Koebbe CJ,Horowitz M,Levy EI,Adelson D,Jungries Cdoi
10.1159/000050432keywords:
subject
Has Abstractpub_date
2001-11-01 00:00:00pages
257-61issue
5eissn
1016-2291issn
1423-0305pii
pne35257journal_volume
35pub_type
杂志文章abstract::Breath-holding or reflex anoxic seizures predominantly occur in preschool children and usually resolve by late childhood, rarely persisting through adolescence and into adulthood. Investigations are generally unnecessary. Education and reassurance is the mainstay of management. In this report, the author describes a c...
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journal_title:Pediatric neurosurgery
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journal_title:Pediatric neurosurgery
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doi:10.1159/000028880
更新日期:1999-12-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1159/000028729
更新日期:1998-11-01 00:00:00
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