Carotid artery aneurysms: an otolaryngologic perspective

Area of Science:

• Vascular Surgery
• Neurology
• Otolaryngology

Background:

• Carotid artery aneurysms are uncommon and pose diagnostic challenges.
• They can manifest in the cervical, petrous, or intracranial segments of the carotid artery.

Observation:

• Clinical presentations range from asymptomatic neck masses to diverse neurological deficits.
• Symptoms like headache, facial pain, tinnitus, vertigo, epistaxis, hoarseness, and dysphagia may warrant otolaryngologic assessment.
• A review of 10 extracranial carotid aneurysm cases highlights varied head and neck manifestations.

Findings:

• The natural history of carotid aneurysms is associated with significant morbidity and mortality.
• Early detection is essential for effective management.
• This report emphasizes the need for otolaryngologists to be aware of these conditions.

Implications:

• Improved understanding of carotid aneurysms can lead to earlier diagnosis and intervention.
• Awareness among otolaryngologists can enhance patient care for head and neck symptoms.
• Further research into differential diagnosis, etiology, and management is warranted.