Journal of Rhinology 2010;17(2):137-140.
Published online November 30, 2010.
Ruptured Infectious Internal Carotid Artery Aneurysm Presenting with Epistaxis: A Case Report
Hwa Jong Yoo, Jae Won Park, Beom Jun Lee, Jin Hee Cho
Department of Otorhinolaryngology-Head and Neck Sugery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
비출혈을 동반한 감염성 내경 동맥류의 파열 1예
유화종, 박재원, 이범준, 조진희
가톨릭대학교 의과대학 이비인후과학교실
Cavernous carotid aneurysms represent fewer than 2% of all intracranial aneurysms and are a rare cause of epistaxis, but rupture of an aneurysm into the sphenoid sinus may result in a massive hemorrhage. Infectious intracranial aneurysms are rare, but can develop as a result of direct extension from bacterial endocarditis or local infection of the head, neck, face, and paranasal sinus. The incidence of infectious intracavernous aneurysm is much lower. Because the sphenoid sinus is located adjacent to the cavernous sinus, sphenoid sinusitis may cause an infectious carotid aneurysm. We have experienced a case of ruptured infectious carotid aneurysm following sphenoid sinusitis presenting with epistaxis. We describe several aspects of the diagnosis and management of this rare case with a review of the literature.
Key Words: Epistaxis;Aneurysm;ICA;Sphenoid sinusitis

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