Intracranial Pseudoaneurysm Misdiagnosed as Recurrent Epistaxis: A Case Report
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Epistaxis is a relatively common otolaryngological emergency, however, repeated episodes of epistaxis should pay attention to the potential for alternative causes. We report a case of a patient who experienced recurrent epistaxis due to an intracranial pseudoaneurysm. At the initial visit, the patient had no history of trauma or surgery and displayed no neurological symptoms other than repeated epistaxis. Suspecting common causes for epistaxis, we performed a nasal exploration but could not identify the bleeding site. However, after the recurrence of epistaxis, endoscopic exploration revealed an aneurysm within the sinus. Emergency angiography and coil embolization were then performed to treat the condition, but stent-assisted coil embolization was subsequently executed due to symptom recurrence. An intracranial pseudoaneurysm in the sphenoid sinus can manifest solely with epistaxis, and rapid diagnosis can be challenging without a suggestive history. Although epistaxis is relatively common, a differential diagnosis is required if symptoms persist.
Abstract
Epistaxis is a relatively common otolaryngological emergency, however, repeated episodes of epistaxis should pay attention to the potential for alternative causes. We report a case of a patient who experienced recurrent epistaxis due to an intracranial pseudoaneurysm. At the initial visit, the patient had no history of trauma or surgery and displayed no neurological symptoms other than repeated epistaxis. Suspecting common causes for epistaxis, we performed a nasal exploration but could not identify the bleeding site. However, after the recurrence of epistaxis, endoscopic exploration revealed an aneurysm within the sinus. Emergency angiography and coil embolization were then performed to treat the condition, but stent-assisted coil embolization was subsequently executed due to symptom recurrence. An intracranial pseudoaneurysm in the sphenoid sinus can manifest solely with epistaxis, and rapid diagnosis can be challenging without a suggestive history. Although epistaxis is relatively common, a differential diagnosis is required if symptoms persist.
참고문헌 (7)
- Tabassom A, "tatPearls" (2023), StatPearls
- Woo CK, "A case of pseudoaneurysm of the sphenopalatine artery presenting intractable epistaxis", J Clin Otolaryngol Head Neck Surg, 20(2), pp.243~246 (2009)
- Zheng Y, "Intracranial pseudoaneurysms : evaluation and management", Front Neurol, 11, pp.582~ (2020)
- Athanasiou S, "Endovascular management of spontaneous intracranial pseudoaneurysms in a pediatric patient with Noonan syndrome. A mere coincidence or a possible association with the disorder?", Surg Neurol Int, 12, pp.537~ (2021)
- Nomura M, "Pseudoaneurysm formation due to rupture of intracranial aneurysms : case series and literature review", Neuroradiol J, 30(2), pp.129~137 (2017)
- 신동민, "외상에 의해 발생한 얼굴동맥의 거짓동맥류 1예", 임상이비인후과, 33(3), pp.154~158 (2022), 대한이비인후과학회 부산,울산,경남 지부회[DOI]
- Ding H, "Nontraumatic and noninfectious pseudoaneurysms on the circle of Willis : 2 case reports and review of the literature", Surg Neurol, 69(4), pp.414~417 (2008)