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Alarming Internal Carotid Artery Aneurysm Eroding the Sphenoid Sinus
Leonardo B C Brasiliense1, Travis M Dumont1
1Department of Neurosurgery, University of Arizona, Tucson, Arizona, USA.
World Neurosurgery
|October 5, 2017
Summary
Massive nosebleeds can signal rare extradural internal carotid artery aneurysms. Prompt diagnosis and treatment with coil embolization led to a successful outcome in a young female patient.
Area of Science:
- Vascular neurosurgery
- Endovascular therapy
Background:
- Extradural internal carotid artery aneurysms are uncommon vascular lesions.
- These aneurysms can present with life-threatening epistaxis (nosebleeds).
Observation:
- A young female patient presented with massive epistaxis.
- The cause was identified as an extradural internal carotid artery aneurysm eroding through the sphenoid sinus.
Findings:
- Timely diagnosis was crucial for successful management.
- The aneurysm was treated effectively using endovascular coil embolization.
Implications:
- This case highlights the importance of considering rare vascular pathologies in patients with severe epistaxis.
- Endovascular embolization offers a viable treatment option for such complex aneurysms, leading to favorable outcomes.
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