[Profuse epistaxis caused by a nontraumatic carotid artery aneurysm].
We present a case of epistaxis caused by a nontraumatic cavernous internal carotid artery aneurysm. A 43-year-old woman was hospitalised due to profuse epistaxis. Investigation with sinoscopy showed a pulsating artery in the sinus sphenoidalis and a follow-up MR angiography showed an aneurysm on the internal carotid artery. She was treated with coiling. The patient had no further bleeding episodes, and half a year after surgery she was neurologically intact. Carotid artery aneurysms must be considered in the differential diagnosis of profuse epistaxis.
Toft
Jan Green
JG
Roskilde Amts Sygehus Køge, Øre-naese-halsafdeling E1, og Odense Universitetshospital, Røntgendiagnostisk Afdeling. jgt@dadlnet.dk
Barfoed
Claus P
CP
Grand
Mansour
M
D000328:Adult; D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004621:Embolization, Therapeutic; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D011859:Radiography