ISSN: 2161-119X

Otolaryngology: Open Access
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  • Case Report   
  • Otolaryngol (Sunnyvale) 2015, Vol 5(3): 188
  • DOI: 10.4172/2161-119X.1000188

Epistaxis Related to Internal Carotid Artery Cavernous Sinus Aneurysm

Bibek Gyanwali, Hongquan Wu, Meichan Zhu and Anzhou Tang*
Department of Otolaryngology-Head and Neck Surgery, First affiliated Hospital of Guangxi Medical University, , Nanning Guangxi, People’s Republic of China
*Corresponding Author : Anzhou Tang, Department of Otolaryngology-Head and Neck Surgery, First affiliated Hospital of Guangxi Medical University, 22# Shuangyong Road, Nanning Guangxi, People’s Republic of China, Tel: 0086-15277143714, Fax: 0086-771-5352523, Email: tazgxmu@163.com

Received Date: Jan 25, 2015 / Accepted Date: Feb 15, 2015 / Published Date: Feb 23, 2015

Abstract

Background: Nasal bleeding is one of the most common clinical presentation in the Otolaryngology Department. Epistaxis related to internal carotid artery aneurysm is a rare cause of epistaxis. In this case we report a case of recurrent epistaxis for more than 7 months in a previously healthy Chinese man.

Case report: Patient complained recurrent nasal bleeding for seven months without any inducing factors, with no history of trauma to the nose, congestive heart failure, diabetes mellitus, hypertension and other diseases. Head and neck computed tomography revealed left maxillary sinus, sphenoid sinus and the right frontal sinus inflammation and nasal septum deviation to the right. Head and neck angiography revealed left internal carotid artery cavernous sinus aneurysm.

Conclusion: Epistaxis related to internal carotid artery aneurysm is quite rare but it is important to consider aneurysms in the etiology of epistaxis. Which may be fatal if the cause of nasal bleeding cannot be identified. We managed our patiently conservatively using nasal packing, hemostatic, anti-inflammatory drugs. The aneurysm was managed by using stent.

Keywords: Epistaxis, Sphenoid sinus, Internal carotid artery,Cavernous sinus, Aneurysm

Citation: Gyanwali B, Wu H, Zhu M, Tang A (2015) Epistaxis Related to Internal Carotid Artery Cavernous Sinus Aneurysm. Otolaryngology 5:188. Doi: 10.4172/2161-119X.1000188

Copyright: © 2015 Gyanwali B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Review summary

  1. Liza Armstrong
    Posted on Apr 17 2019 at 8:52 pm
    Couple years ago 2015 I had neck surgery and had C4 and C5 fused together. One week into my recovery at home I had a artery rupture in my nose. I was a 47 yoa female at the time. I lost so much blood I almost fainted from it, we had to call an ambulance and they cauterized my artery in the E.R. they said it was because I was old. I have suffered from a mild condition of MVP and regurgitation refraction under 30%, slight blood pressure issues and Graves disease. Since this occurred I have had severe headaches that no one can identify why. Once my right side of face went numb and they thought I was having a stroke. Question could these be signs of possible aneurysm getting ready to happen in my head? You can reach out to me for any questions.
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