Spontaneous rupture of an intra-cavernous internal carotid artery aneurysm presenting with massive epistaxis

2011 ◽  
Vol 125 (10) ◽  
pp. 1070-1072 ◽  
Author(s):  
A Davies ◽  
O Dale ◽  
S Renowden
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Treatment Method ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Cavernous Carotid Artery ◽  
Endovascular Coils

AbstractObjective:We report a rare case of epistaxis resulting from a ruptured internal carotid artery aneurysm, and present a successful treatment method.Case report:A 72-year-old woman was admitted following recurrent massive epistaxis. There was no history of trauma or surgery. Radiographic imaging demonstrated a large internal carotid artery aneurysm. An attempt was made to occlude the aneurysm with endovascular coils. Despite this, the patient went on to have further epistaxis. Endovascular ablation of the feeding internal carotid artery led to complete resolution.Conclusion:This case demonstrates that spontaneous epistaxis from intra-cavernous carotid artery aneurysms can be managed using endovascular techniques. To our knowledge, we report the first use of interventional radiological techniques to assess the collateral circulation to the brain and subsequently undertake endovascular ablation of the internal carotid artery.

scholarly journals Gargantuan internal carotid artery aneurysm—a surgical challenge

2021 ◽  
Author(s):  
Ashutosh Kumar Pandey ◽  
Shivanesan Pitchai ◽  
Harishankar Ramachandran Nair ◽  
P M Vineeth Kumar
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Thromboembolic Event ◽  
Internal Carotid ◽  
Artery Bypass ◽  
Artery Aneurysm ◽  
Extracranial Carotid Artery ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of

Abstract Extracranial carotid artery aneurysms are a rarely reported entity. Here, we describe an unusually large internal carotid artery aneurysm in a 76-year-old female, with progressive enlargement and history of thromboembolic event. She was managed successfully with an open repair and common carotid artery to internal carotid artery bypass.

Internal carotid artery aneurysm presenting as orofacial pain

2012 ◽  
Vol 126 (8) ◽  
pp. 851-853 ◽  
Author(s):  
S J Stone ◽  
V Paleri ◽  
K S Staines
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Orofacial Pain ◽  
Artery Aneurysm ◽  
Interdisciplinary Management ◽  
Carotid Artery Aneurysm ◽  
Internal Carotid Artery Aneurysm ◽  
History Of ◽  
Occipital Headache

AbstractObjectives:We report a case of an internal carotid artery aneurysm presenting as orofacial pain.Method:Case report and discussion.Results:A 59-year-old patient presented with a four-year history of chronic oral pain accompanied by a right-sided occipital headache. No local organic pathology was detected, and a provisional diagnosis of persistent idiopathic facial pain was made. A neurosurgery referral was made to exclude neurovascular pathology, which resulted in the detection of an aneurysm originating from the right posterior communicating artery. This was successfully treated by coil embolisation, with subsequent resolution of symptoms.Conclusion:In this patient, an atypical history of pain with no other neurological signs or symptoms, other than accompanying occipital headache, led to the discovery of an intracranial aneurysm. This case highlights the need for appropriate referral and imaging in cases in which the clinical history and findings are not classical, and also emphasises the need for interdisciplinary management.

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