Toft Jan Green, Barfoed Claus P, Grand Mansour
Roskilde Amts Sygehus Køge, Øre-naese-halsafdeling E1, og Odense Universitetshospital, Røntgendiagnostisk Afdeling.
Ugeskr Laeger. 2006 May 8;168(19):1871-2.
We present a case of epistaxis caused by a nontraumatic cavernous internal carotid artery aneurysm. A 43-year-old woman was hospitalised due to profuse epistaxis. Investigation with sinoscopy showed a pulsating artery in the sinus sphenoidalis and a follow-up MR angiography showed an aneurysm on the internal carotid artery. She was treated with coiling. The patient had no further bleeding episodes, and half a year after surgery she was neurologically intact. Carotid artery aneurysms must be considered in the differential diagnosis of profuse epistaxis.
我们报告一例由非创伤性海绵窦段颈内动脉瘤引起的鼻出血病例。一名43岁女性因大量鼻出血入院。鼻窦镜检查发现蝶窦内有搏动性动脉，后续磁共振血管造影显示颈内动脉有动脉瘤。她接受了弹簧圈栓塞治疗。患者未再出现出血情况，术后半年神经功能完好。在大量鼻出血的鉴别诊断中必须考虑到颈动脉瘤。
