Aneurysm of Petrous and Cavernous Parts of the Internal Carotid Artery: A Case Report.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-08-01 Epub Date: 2024-04-30 DOI:10.1007/s12070-024-04656-1

Can Aslan, Kemal Koray Bal, Harun Gur, Kemal Gorur

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引用次数: 0

Abstract

İnternal carotid artery (ICA) aneurysms are rare but they can cause high morbidity and mortality. Although these aneurysms are usually asymptomatic, they can reach huge sizes and compress the surrounding neurovascular structures. Patients typically present with neurologic symptoms due to cranial nerve compression. If they rupture, they can lead to massive epistaxis and autorage. In physical examination, pulsatile mass in the middle ear or nasal cavity can be seen. If there is a clinical suspicion of an ICA aneurysms, diagnostic radiological imaging should be performed before the surgical procedure or biopsy. Cerebral digital subtraction angiography (DSA) should be performed for definitive diagnosis. After diagnosis, appropriate endovascular or open intervention should be performed. In this case report, we present a 48-year-old female patient with severe epistaxis complaint due to an ICA aneurysm. This report aims to present this case and review the current literature.

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颈内动脉石状部分和海绵状部分动脉瘤：病例报告。

颈内动脉（ICA）动脉瘤虽然罕见，但却能导致很高的发病率和死亡率。虽然这些动脉瘤通常没有症状，但它们可以长到很大，并压迫周围的神经血管结构。患者通常会因压迫颅神经而出现神经症状。如果破裂，则会导致大面积鼻衄和自颅内出血。体格检查时，可在中耳或鼻腔看到搏动性肿块。如果临床上怀疑存在 ICA 动脉瘤，则应在手术或活检前进行放射影像诊断。应进行脑数字减影血管造影术（DSA）以明确诊断。确诊后，应进行适当的血管内或开放性介入治疗。在本病例报告中，我们介绍了一名 48 岁的女性患者，她主诉因 ICA 动脉瘤导致严重鼻衄。本报告旨在介绍该病例并回顾现有文献。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.