Ruptured petrous carotid aneurysm presenting with otorrhagia and epistaxis.

  title={Ruptured petrous carotid aneurysm presenting with otorrhagia and epistaxis.},
  author={Peter David Costantino and Eric Russell and Diethard Reisch and Reinhard Breit and Chris T Hart},
  journal={The American journal of otology},
  volume={12 5},
Aneurysm formation and rupture within the petrous internal carotid artery (ICA) is an extremely rare occurrence with approximately 10 such cases in the literature. Etiologies of petrous ICA aneurysms include atherosclerosis, closed head trauma, iatrogenic injury during mastoid surgery, chronic middle ear infections, and congenital causes. Therapeutic options include carotid artery ligation, aneurysm resection with or without reconstruction, and radiographically controlled vessel occlusion. The… CONTINUE READING
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