Epistaxis (nosebleed) is very common and has a broad differential diagnosis in clinical practice. In clinical practice, anterior epistaxis are mainly located in Kiesselbach's plexus and posterior epistaxis (5% of all epistaxis) in Woodruff's plexus.

Epistaxis is very common, with a lifetime incidence of ~60% 2

There is a broad range of causes, both local and systemic 2:

They usually do not require imaging, unless they are very severe or recurrent. In rare instances, these can be evaluated in the interventional radiology suite for potential endovascular embolisation, especially if uncontrollable with nasal packing. Ideally, prior to embolisation, these cases should be imaged by head and neck CTA.

Share article

Article information

rID: 35309
System: Head & Neck
Section: Approach
Synonyms or Alternate Spellings:
  • Nosebleed
  • Nose bleed

Support Radiopaedia and see fewer ads

Cases and figures

  • Drag
    Case 1: treated with balloon catheter
    Drag here to reorder.
  • Drag
    Case 2: esthesioneuroblastoma
    Drag here to reorder.
  • Drag
    Case 3: internal carotid artery aneurysm
    Drag here to reorder.
  • Updating… Please wait.

    Alert accept

    Error Unable to process the form. Check for errors and try again.

    Alert accept Thank you for updating your details.