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June 7, 1971

Recurrent Epistaxis Secondary to Aneurysm of Internal Carotid Artery

Author Affiliations

Charleston, WVa

JAMA. 1971;216(10):1644. doi:10.1001/jama.1971.03180360090019

To the Editor.—  Epistaxis secondary to the rupture of an aneurysm of the internal carotid artery in its cavernous portion that has eroded into the sphenoid sinus has been reported infrequently.In 1907, Beadles1 in a report of 555 cases of intracranial aneurysms referred to the case of Nettleship. The patient, a 61-year-old woman, eventually died after 2 1/2 years of recurrent bouts of epistaxis. Associated neurological findings included pain in the nose, and proptosis of the left eye.Similar cases have been reported over the years and an association of such aneurysm with a history of preceding trauma has been stressed by Voris and Basile,2 Garcia Bengochea et al,3 Fabian,4 Kinley and Leighninger,5 and Seftel et al.6In the most recent case reported, repeated bouts of epistaxis from an aneurysm of the cavernous sinus portion of the carotid artery followed a severe head