Author(s)

Adil Belhachmi^1,2, Yao Christian Hugues Dokponou^1,2*#, Fernand Nathan Imoumby^1,2, Napoléon Imbunhe^1,2, Sofia El Akroud^1,2, Miloudi Gazzaz^1,2

¹Mohammed V University, Rabat, Morocco.
²Service de Neurochirurgie Hôpital Militaire d’Instruction Mohammed V, Rabat, Maroc.

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.

Traumatic Brain Injury, Sphenopalatine Artery, Endovascular

Belhachmi, A. , Dokponou, Y. , Imoumby, F. , Imbunhe, N. , Akroud, S. and Gazzaz, M. (2021) Severe Traumatic Brain Injury with Sphenopalatine Artery Ruptured: Case Report and Review of the Literature. Open Journal of Modern Neurosurgery, 11, 204-209. doi: 10.4236/ojmn.2021.113024.