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Eur Arch Otorhinolaryngol. 2005 Jul;262(7):546-9. Epub 2004 Dec 9.

Massive recurrent epistaxis from non-traumatic bilateral intracavernous carotid artery aneurysms.

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Department of Otolaryngology Head and Neck Surgery, University Hospital Aintree, Lower Lane, Liverpool, L9 7AL, UK.


Recurrent epistaxis may rarely follow traumatic intracavernous carotid artery aneurysm. This occurs nearly always after head injury and is usually associated with fracture of the skull base. Severe torrential epistaxis due to non-traumatic intracavernous carotid artery aneurysm is extremely uncommon and potentially fatal, with only a few cases having been reported in the literature. We present the case of a 23-year-old female with a history of recurrent severe epistaxis and otalgia due to bilateral intracavernous carotid artery aneurysms, illustrating the diagnostic difficulties. The radiological investigations and the management of the patient are discussed and relevant literature is reviewed.

[Indexed for MEDLINE]

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