Ruptured nontraumatic fusiform aneurysm of the cavernous carotid presenting with multiple episodes of epistaxis.
Epistaxis from rupture of a non-traumatic, cavernous carotid aneurysm is a rare and life threatening event. The evaluation and management of a patient with such a lesion is described. Direct surgical reconstruction of this fusiform aneurysm using an extradural/intradural approach to the cavernous sinus resulted in a satisfactory outcome.
Section of Neurological Surgery, Indiana University School of Medicine, Indianapolis.
M B
MB
Pritz
D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D011859:Radiography; D012008:Recurrence; D012422:Rupture, Spontaneous