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Nontraumatic intracavernous carotid aneurysm presenting with epistaxis

Published online by Cambridge University Press:  29 June 2007

M. J. Chandy*
Affiliation:
Vellore, India
*
Dr. M. J. Chandy, Department of Neurological Sciences, Christian Medical College Hospital, Vellore 632004, India.

Abstract

A patient with an intracavernous carotid aneurysm usually presents with symptoms and signs of a space occupying lesion, producing one of a variety of types of cavernous sinus syndromes (Jefferson, 1938). Epistaxis is an unusual feature in these patients and when present is nearly always associated with a traumatic aneurysm (Mahmoud, 1979). There are only two reported cases of non-traumatic intracavernous carotid aneurysms presenting with epistaxis and diagnosed during the lifetime of the patient (Troupp, 1962; Labayle and Legent, 1964). The authors present a third such case. The importance of considering aneurysms in the differential diagnosis of epistaxis is emphasised. The radiological investigations and management of these patients is discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1989

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