title: Crouzon's Syndrome with Life-Threatening Ear Bleed: Ruptured Jugular Vein Diverticulum Treated by Endovascular Embolization.
abstract: Crouzon's syndrome is the commonest variety of syndromic craniosynostosis. Life-threatening ear bleed due to ruptured jugular venous diverticulum in Crouzon's syndrome has not been described previously. In patients with syndromic craniosynostosis, definitive repair of jugular diverticulum by open surgery is fraught with high risk of bleeding, poor functional outcomes, and even death. A 24-year-old woman with Crouzon's syndrome presented with conductive hearing loss and recurrent episodes of torrential bleeding from her left ear. On computed tomography, a defect in the roof of jugular fossa containing jugular venous diverticulum immediately inferior to the bony external auditory canal was seen. The clinical presentation, imaging features, and endovascular management of Crouzon's syndrome due to a ruptured jugular venous diverticulum is described.
authors.affiliation: Department of Interventional Neuroradiology, Lilavati Hospital and Research Centre, A-791, Bandra Reclamation, Bandra(W), Mumbai, 400 050, Maharashtra, India, prabathmondel@gmail.com.
authors.forename: Prabath Kumar
authors.initials: PK
authors.lastname: Mondel
authors.forename: Sunanda
authors.initials: S
authors.lastname: Anand
authors.forename: Uday S
authors.initials: US
authors.lastname: Limaye
mesh_terms: D000328:Adult; D003394:Craniofacial Dysostosis / Q000150:complications*; D004240:Diverticulum / Q000150:complications / Q000628:therapy*; D004423:Ear / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic; D005260:Female; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014652:Vascular Diseases / Q000150:complications / Q000628:therapy*; D055815:Young Adult