Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Fatal Epistaxis via Carotid Aneurysm and Eustachian Tube

Fatal Epistaxis via Carotid Aneurysm and Eustachian Tube Abstract EPISTAXIS is a common clinical problem and is rarely serious in its intensity. Conservative estimates indicate that about 90% of all nose bleeds occur in the capillary bed of the septum, known as Keisselbach's area. Rarely, severe epistaxis may occur from damage to the sphenopalatine artery in the posterior nares. Traumatic aneurysms of the internal carotid artery presenting with massive epistaxis are indeed rarely encountered. This report presents a case of a traumatic aneurysm of the internal carotid artery eroding into the eustachian tube, giving rise to repeated severe bleeding episodes, and ending fatally. A number of reports of aneurysms eroding into the sphenoid sinus have been made.1-6 Only one other report of bleeding through the eustachian tube has been found in the world literature.7 The number of head injuries from auto accidents alone suggests that this type of injury may not be as uncommon as this report References 1. Birley, L., and Trotter, W. Traumatic Aneurysm of the Intracranial Portion of the Internal Carotid Artery , Brain 51:184-208, 1928.Crossref 2. Brihaye, J.; Mage, J.; and Verriest, G.: Aneurysme Traumatique de la carotide interne dans sa portion supracliniodienne , Acta Neurol Belg 54:411-438, 1954. 3. Maurr, J.; Mills, M.; and German, W.: Triad of Unilateral Blindness, Orbital Fractures, and Massive Epistaxis After Head Injury , J Neurosurg 18:837-840, 1961.Crossref 4. Seftel, D.; Kolson, H.; and Gordon, B.: Ruptured Intracranial Carotid Artery Aneurysm With Fatal Epistaxis , AMA Arch Otolaryng 70:52-60, 1959.Crossref 5. Araki, C., et al: Traumatic Aneurysm of the Intracranial Extradural Portion of the Internal Carotid Artery , J Neurosurg 23:64-67, 1965.Crossref 6. Wemple, J., et al: Extracranial Carotid Aneurysms: Four Cases , J Neurosurg 24:667-671, 1966.Crossref 7. Rousseau, F., and Spillman, J.: Deux cas d'epistaxis incoercibles avec cecite homolaterale par lesion de la carotide interne intracranienne apris chute, sur la tete , Ann Otolaryng 68:461-465, 1951. 8. Voris, H., and Basile, J.: Recurrent Epistaxis From Aneurysm of the Internal Carotid Artery , J Neurosurg 18:841-842, 1961.Crossref 9. Weaver, D., et al: Retropharyngeal Hemorrhage From the Carotid Artery , Trans Amer Laryng Assoc 85:222-337, 1964. 10. Hamilton, J., and Falconer, M.: Immediate and Late Results of Surgery in Cases of Saccular Intracranial Aneurysms , J Neurosurg 16:514-541, 1959.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Fatal Epistaxis via Carotid Aneurysm and Eustachian Tube

Loading next page...
 
/lp/american-medical-association/fatal-epistaxis-via-carotid-aneurysm-and-eustachian-tube-iKWwRfLRLg
Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00760060297014
Publisher site
See Article on Publisher Site

Abstract

Abstract EPISTAXIS is a common clinical problem and is rarely serious in its intensity. Conservative estimates indicate that about 90% of all nose bleeds occur in the capillary bed of the septum, known as Keisselbach's area. Rarely, severe epistaxis may occur from damage to the sphenopalatine artery in the posterior nares. Traumatic aneurysms of the internal carotid artery presenting with massive epistaxis are indeed rarely encountered. This report presents a case of a traumatic aneurysm of the internal carotid artery eroding into the eustachian tube, giving rise to repeated severe bleeding episodes, and ending fatally. A number of reports of aneurysms eroding into the sphenoid sinus have been made.1-6 Only one other report of bleeding through the eustachian tube has been found in the world literature.7 The number of head injuries from auto accidents alone suggests that this type of injury may not be as uncommon as this report References 1. Birley, L., and Trotter, W. Traumatic Aneurysm of the Intracranial Portion of the Internal Carotid Artery , Brain 51:184-208, 1928.Crossref 2. Brihaye, J.; Mage, J.; and Verriest, G.: Aneurysme Traumatique de la carotide interne dans sa portion supracliniodienne , Acta Neurol Belg 54:411-438, 1954. 3. Maurr, J.; Mills, M.; and German, W.: Triad of Unilateral Blindness, Orbital Fractures, and Massive Epistaxis After Head Injury , J Neurosurg 18:837-840, 1961.Crossref 4. Seftel, D.; Kolson, H.; and Gordon, B.: Ruptured Intracranial Carotid Artery Aneurysm With Fatal Epistaxis , AMA Arch Otolaryng 70:52-60, 1959.Crossref 5. Araki, C., et al: Traumatic Aneurysm of the Intracranial Extradural Portion of the Internal Carotid Artery , J Neurosurg 23:64-67, 1965.Crossref 6. Wemple, J., et al: Extracranial Carotid Aneurysms: Four Cases , J Neurosurg 24:667-671, 1966.Crossref 7. Rousseau, F., and Spillman, J.: Deux cas d'epistaxis incoercibles avec cecite homolaterale par lesion de la carotide interne intracranienne apris chute, sur la tete , Ann Otolaryng 68:461-465, 1951. 8. Voris, H., and Basile, J.: Recurrent Epistaxis From Aneurysm of the Internal Carotid Artery , J Neurosurg 18:841-842, 1961.Crossref 9. Weaver, D., et al: Retropharyngeal Hemorrhage From the Carotid Artery , Trans Amer Laryng Assoc 85:222-337, 1964. 10. Hamilton, J., and Falconer, M.: Immediate and Late Results of Surgery in Cases of Saccular Intracranial Aneurysms , J Neurosurg 16:514-541, 1959.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Mar 1, 1968

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month