Air in the carotid canal as a predictor of distal internal carotid artery laceration

D R Buis, C M F Dirven, R van den Berg, R A Manoliu, W P Vandertop

Research output: Contribution to journalArticleAcademicpeer-review


The authors describe a 25-year old patient with blunt trauma-induced bilateral, distal segment internal carotid artery (ICA) lacerations, resulting in a left-sided direct carotid-cavernous sinus fistula (CCF) and presenting with massive oronasal bleeding. The combination of severe oronasal bleeding, with air in the carotid canal should alarm the treating physician to the presence of a distal internal carotid artery laceration.

Original languageEnglish
Pages (from-to)1201-3; discussion 1203
JournalActa Neurochirurgica
Issue number11
Publication statusPublished - Nov 2006

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