Epistaxis as unusual presentation of carotid siphon aneurysms, evolved in subacute carotid thrombosis
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Epistaxis as the first clinical manifestation of intracranial aneurysm is a rare event. Moreover, coexistence of aneurysm rupture and progressing stroke due to spontaneous aneurysm thrombosis generates a complex decision-making discussion.
An 88-year-old man with history of mild hypertension since age 65 and two remote transient ischemic attacks at age 66 and 72, in treatment with Clopidogrel, presented to the emergency department for a severe epistaxis with acute onset.
He had experienced right facial pain for the previous month and had a neurological evaluation two weeks prior to the episode of epistaxis that had not found any neurological abnormality. However, during the neurological evaluation, he had an initial episode of epistaxis, which was treated with nasal packing.
Epistaxis continued for at least 3 h, requiring anterior and posterior nasal packing and two blood transfusions of concentrated red blood cells. Rhinoscopy showed only blood clots in...
- 1.Brasiliense LBC, Dumont TM (2017) Alarming internal carotid artery aneurysm eroding the sphenoid sinus. World Neurosurg. DecGoogle Scholar