Abstract An aberrant internal carotid artery without aneurysm presenting in the middle ear as a mass was diagnosed preoperatively as a tumor of the glomus jugulare. An attempt at surgical removal was met with sudden, profuse hemorrhage. Definitive treatment of proximal ligation of the carotid and encasement of the involved portion of the vessel with muscle and fascia produced temporary aphasia and hemiparesis. The condition in the patient is believed to be bilateral due to bilateral physical findings preoperatively. The etiology is most likely congenital because of this fact as well as the presence of an associated anomaly of the carotid in the cervical area. References 1. Hough JVD: Malformations and anatomical variations seen in the middle ear during the operation for mobilization of the stapes . Laryngoscope 68:1337-1379, 1958.Crossref 2. Steffen TN: Vascular anomalies of the middle ear . Laryngoscope 68:171-191, 1968.Crossref 3. Max E: Die Bedeutung Arteria Carotitis Interna in der Hals. Nasan ohrenheilkinde . Msch Ohrenheilk , 1899, p 251. 4. Hansen E: Ein Fall Von Verlauf der Carotis Interna Durch die Paukenhohle . Munch Med Wschr 1, 94, 1903. 5. Harrison, TH, Odom GL, Kunckle ER: Internal carotid aneurysm arising in carotid canal . Arch Neurol 8:328-331, 1963.Crossref 6. Barrett JH, Lawrence VL: Aneurysms of the internal carotid artery as a complication of mastoidectomy . Arch Otolaryng 72:366-368, 1960.Crossref 7. Hiranandani LH, et al: An internal carotid aneurysm in the perrous temporal bone . J Laryng 76:703-706, 1962.Crossref 8. Pecker J, et al: Paralysie du moteur oculaire externe par aneurysme intra-petreux traumatique de la carotide interne . Presse Med 68:1023-1024, 1960. 9. Pierine EAA, Agra A: Epistaxis como signo de hemorragia de la carotida interna en su porción timpánica . Presna Med Argent 41:945-948, 1954. 10. Guirguis S, Tadros FW: An internal carotid aneurysm in the petrous temporal bone . J Neurosurg Psychiat 24:84-85, 1961.Crossref 11. Allen GW: Angiography in otolaryngology . Laryngoscope 77:1907-1961, 1967.Crossref 12. Kecht B: Die Bedeutung Der Arteria Carotitus Interna in der Hals Nasan Orhenheilkinde . Arch Ohr Nas Kehlkopfneilk 143:1-48, 1937.Crossref 13. Meyerson MD, Ruben H, Bilbert JG: Anatomic studies of the petrous portion of the temporal bone . Arch Otolaryng. 20:195-210, 1934.Crossref 14. McNeil KA, Milner GA: Bilateral tumor of glomus jugulare . J Laryng 69:430-431, 1955.Crossref 15. Bartels, quoted by Brown, JS: Glomus jugulare tumors: Methods and difficulties of diagnosis and surgical treatment . Laryngoscope 77:26-67, 1967.Crossref 16. Lie TA: Congenital Anomalies of the Carotid Arteries . Amsterdam, Excerpta Medica monograph, 1968.
Archives of Otolaryngology – American Medical Association
Published: Sep 1, 1971
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