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Updated: Aug 7, 2026

Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
Multiple intracranial aneurysms presenting with epistaxis
S Honeybul1, S Barker, C Poitelea
1Wessex Neurological Centre, Southampton General Hospital, UK. stephen.honeybul@health.wa.gov.au
True intracavernous carotid artery aneurysms causing nosebleeds are rare. This case demonstrates successful endovascular treatment and emphasizes differentiating true from false aneurysms for effective patient care.
Area of Science:
- Vascular Surgery
- Neurology
- Interventional Radiology
Background:
- Epistaxis is commonly associated with ruptured false aneurysms.
- True intracavernous carotid artery aneurysms presenting with epistaxis are exceptionally rare.
Observation:
- A patient with multiple aneurysms presented with epistaxis.
- The epistaxis was attributed to a true intracavernous carotid artery aneurysm.
Findings:
- The rare case of epistaxis from a true intracavernous carotid artery aneurysm was successfully treated.
- Endovascular techniques were employed for aneurysm management.
Implications:
- Distinguishing between true and false aneurysms is crucial for accurate diagnosis.
- Accurate differentiation impacts therapeutic strategies and patient outcomes in complex aneurysm cases.
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