title: [Extracranial aneurysms of the internal carotid artery--an otorhinolaryngologic problem?].
abstract: The problem of high cervical internal carotid aneurysms is demonstrated in two patients. One patient presented with a massive intermittent bleeding in the nasopharynx, the second with a sudden paralysis of the cranial nerves 9-12. 2/3 of these extracranial internal carotid aneurysms are situated at the bifurcation of the common carotid artery and 1/3 are located proximal the skull base. These aneurysms can be "congenital" or traumatic in origin or may arise as a complication of otitis media or tonsillitis. Diagnosis should be established by arteriography. Even for asymptomatic aneurysms the present therapeutic concept consists of a multidisciplinary surgical approach with attempted vascular reconstruction, since spontaneous rupture may occur at any moment.
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000175:diagnosis* / Q000601:surgery; D002340:Carotid Artery Diseases / Q000175:diagnosis* / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012017:Referral and Consultation; D012422:Rupture, Spontaneous; D013382:Subtraction Technique
vernacular_title: Extracranielle Aneurysmen der Arteria carotis interna--ein Hals-, Nasen-, Ohrenärztliches Problem?