Fatal Cataclysmic Otorrhagia and Epistaxis Due to a Ruptured Aneurysm of the Petrous Internal Carotid Artery: A Case Report  

作　　者：Abdou Sy Mouhamadou Diouldé Diallo Khadim Diouf Papa Ibrahima Ndiaye Barrière Moussa Diallo Abdou Sy;Mouhamadou Diouldé Diallo;Khadim Diouf;Papa Ibrahima Ndiaye;Barrière Moussa Diallo(Department of Otorhinolaryngology and Head and Neck Surgery, Military Hospital of Ouakam, Dakar, Senegal;Department of Otorhinolaryngology and Head and Neck Surgery, Children’s Hospital of Diamniadio, University Iba Der Thiam of Thies, Thies, Senegal;Department of Neurosurgery, Children’s Hospital of Diamniadio, Dakar, Senegal;Department of Radiology, Military Hospital of Ouakam, Dakar, Senegal)

机构地区：[1]Department of Otorhinolaryngology and Head and Neck Surgery, Military Hospital of Ouakam, Dakar, Senegal [2]Department of Otorhinolaryngology and Head and Neck Surgery, Children’s Hospital of Diamniadio, University Iba Der Thiam of Thies, Thies, Senegal [3]Department of Neurosurgery, Children’s Hospital of Diamniadio, Dakar, Senegal [4]Department of Radiology, Military Hospital of Ouakam, Dakar, Senegal

出　　处：《International Journal of Otolaryngology and Head & Neck Surgery》2023年第5期341-346,共6页耳鼻喉（英文）

摘　　要：Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare;their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infection, or radiation. Aim: We report a case of massive otorrhagia and epistaxis from a ruptured aneurysm of the petrous internal carotid artery. Case Presentation: A 34-year-old man presented to our department for the first time with repeated left otorrhagia ongoing for 5 years, left sided pulsatile tinnitus and left conductive hearing loss. In his history, we noted a right hemi-corporeal deficit of sudden onset one month ago and the head-CT showed a left frontoparietal subarachnoid hemorrhage without any visualised vascular malformation. Otomicroscopy showed a pulsatile mass visible at the posterior part of the hypotympanum. There was a right-sided hemiparesis estimated at 2/5 with no disorder of the sensitivity. After hemodynamic stabilization, the patient was discharged from the hospital and treatment was scheduled in interventional radiology and neurosurgery unit. Unfortunately the patient presented at home with a cataclysmic hemorrhage by massive otorrhagia and epistaxis and arrived dead at the emergency unit. Conclusion: The treatment of a petrous carotid aneurysm must be carried out quickly considering the risk of rupture leading to a cataclysmic hemorrhage that can be rapidly life threatening.Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare;their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infection, or radiation. Aim: We report a case of massive otorrhagia and epistaxis from a ruptured aneurysm of the petrous internal carotid artery. Case Presentation: A 34-year-old man presented to our department for the first time with repeated left otorrhagia ongoing for 5 years, left sided pulsatile tinnitus and left conductive hearing loss. In his history, we noted a right hemi-corporeal deficit of sudden onset one month ago and the head-CT showed a left frontoparietal subarachnoid hemorrhage without any visualised vascular malformation. Otomicroscopy showed a pulsatile mass visible at the posterior part of the hypotympanum. There was a right-sided hemiparesis estimated at 2/5 with no disorder of the sensitivity. After hemodynamic stabilization, the patient was discharged from the hospital and treatment was scheduled in interventional radiology and neurosurgery unit. Unfortunately the patient presented at home with a cataclysmic hemorrhage by massive otorrhagia and epistaxis and arrived dead at the emergency unit. Conclusion: The treatment of a petrous carotid aneurysm must be carried out quickly considering the risk of rupture leading to a cataclysmic hemorrhage that can be rapidly life threatening.

关 键 词：ANEURYSMS Petrous Internal Carotid Artery Otorrhagia Pulsatile Tinnitus 

分 类 号：R65[医药卫生—外科学]