UNMASKING THE CULPRIT – PSEUDOANEURYSM OF PETROUS INTERNAL CAROTID ARTERY
Keywords:
Pseudoaneurysm, epistaxis, internal carotid artery, balloon occlusion test, endovascular coiling.
Abstract
Pseudoaneurysms of the petrous internal carotid artery are rare. This is the case of a patient who presented with intermittent episodes of profuse bleeding from left nostril and pulsatile tinnitus. Digital subtraction angiography (DSA) showed pseudoaneurysm from left petrous internal carotid artery and was promptly treated with balloon assisted coiling.
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References
1. K.M. Cheng, C.M. Chan, Y.L. Cheung, H.M. Chiu, K.W. Tang, C.K. Law
Endovascular treatment of radiation-induced petrous internal carotid artery aneurysm presenting with acute haemorrhage. A report of two cases
Acta Neurochir (Wien), 143 (4) (2001), pp. 351-356
2. M. Johnson, V. Madhavakurup, A.V. Sandeep
Pseudoaneurysm of petrous internal carotid artery presenting as aural polyp
Indian J Otol, 19 (1) (2013), pp. 27-29
3. Hiranandani LH, Chandra O, Malpani NK, et al: An internal carotid aneurysm in the petrous temporal bone. J Laryngol Otol 76:703–706, 1962
4. Bilateral Petrous Internal Carotid Artery Pseudoaneurysms Presenting with Sensorineural Hearing Loss Catherine J Hwang a, Gul Moonis b. AJNR Am J Neuroradiol. 2003;24(6):1139–41.
5. Choi SH, Park H, Yang TK, Song CI. Pseudoaneurysm of the Petrosal Internal Carotid Artery in the Middle Ear as a Complication of Middle Ear Cholesteatoma. Journal of Audiology and Otology. 2015 Apr 20;19(1):58–61.
6. Chavan R, Nasli Ichaporia, Sanjay Vhora, Kaustubh Aurangabadkar, Dhanesh Kamerkar, Suhas Hardas, et al. Endovascular management of internal carotid artery pseudoaneurysms: Retrospective observational study. Interdisciplinary neurosurgery. 2021 Jun 1;24:101042–2.
7. Hwang CJ, Moonis G, Hurst RW, Hockstein N, Bigelow D. Bilateral petrous internal carotid artery pseudoaneurysms presenting with sensorineural hearing loss. AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1139-41. PMID: 12812941; PMCID: PMC8149025.
8. Auyeung KM, Lui WM, Chow LC, Chan FL. Massive epistaxis related to petrous carotid artery pseudoaneurysm after radiation therapy: emergency treatment with covered stent in two cases. AJNR Am J Neuroradiol. 2003;24:1449–1452.
9. .Willinsky R, Lasjaunias P, Pruvost P, Boucherat M. Petrous internal carotid aneurysm causing epistaxis: balloon embolization with preservation of the parent vessel. Neuroradiology. 1987;29:570–572. doi: 10.1007/BF00350444.
10. Mascitelli J, Moyle H, Oermann E et al. An Update to the Raymond-Roy Occlusion Classification of Intracranial Aneurysms Treated with Coil Embolization. J Neurointerv Surg. 2015;7(7):496-502. doi:10.1136/neurintsurg-2014-011258
Endovascular treatment of radiation-induced petrous internal carotid artery aneurysm presenting with acute haemorrhage. A report of two cases
Acta Neurochir (Wien), 143 (4) (2001), pp. 351-356
2. M. Johnson, V. Madhavakurup, A.V. Sandeep
Pseudoaneurysm of petrous internal carotid artery presenting as aural polyp
Indian J Otol, 19 (1) (2013), pp. 27-29
3. Hiranandani LH, Chandra O, Malpani NK, et al: An internal carotid aneurysm in the petrous temporal bone. J Laryngol Otol 76:703–706, 1962
4. Bilateral Petrous Internal Carotid Artery Pseudoaneurysms Presenting with Sensorineural Hearing Loss Catherine J Hwang a, Gul Moonis b. AJNR Am J Neuroradiol. 2003;24(6):1139–41.
5. Choi SH, Park H, Yang TK, Song CI. Pseudoaneurysm of the Petrosal Internal Carotid Artery in the Middle Ear as a Complication of Middle Ear Cholesteatoma. Journal of Audiology and Otology. 2015 Apr 20;19(1):58–61.
6. Chavan R, Nasli Ichaporia, Sanjay Vhora, Kaustubh Aurangabadkar, Dhanesh Kamerkar, Suhas Hardas, et al. Endovascular management of internal carotid artery pseudoaneurysms: Retrospective observational study. Interdisciplinary neurosurgery. 2021 Jun 1;24:101042–2.
7. Hwang CJ, Moonis G, Hurst RW, Hockstein N, Bigelow D. Bilateral petrous internal carotid artery pseudoaneurysms presenting with sensorineural hearing loss. AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1139-41. PMID: 12812941; PMCID: PMC8149025.
8. Auyeung KM, Lui WM, Chow LC, Chan FL. Massive epistaxis related to petrous carotid artery pseudoaneurysm after radiation therapy: emergency treatment with covered stent in two cases. AJNR Am J Neuroradiol. 2003;24:1449–1452.
9. .Willinsky R, Lasjaunias P, Pruvost P, Boucherat M. Petrous internal carotid aneurysm causing epistaxis: balloon embolization with preservation of the parent vessel. Neuroradiology. 1987;29:570–572. doi: 10.1007/BF00350444.
10. Mascitelli J, Moyle H, Oermann E et al. An Update to the Raymond-Roy Occlusion Classification of Intracranial Aneurysms Treated with Coil Embolization. J Neurointerv Surg. 2015;7(7):496-502. doi:10.1136/neurintsurg-2014-011258
How to Cite
1.
Krishna R A, Swapna U, Rajendran N, Vinod A. UNMASKING THE CULPRIT – PSEUDOANEURYSM OF PETROUS INTERNAL CAROTID ARTERY . Int J Med Res Rev [Internet]. 2025Apr.28 [cited 2025May7];13(2):34-6. Available from: https://www.ijmrr.medresearch.in/index.php/ijmrr/article/view/1545
Section
Case Report
Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society
This work is licensed under a Creative Commons Attribution 4.0 International License.
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