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February 1986

Facial Paralysis as the Initial Presentation of an Internal Carotid Artery Aneurysm

Author Affiliations

From the Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston.

Arch Otolaryngol Head Neck Surg. 1986;112(2):198-202. doi:10.1001/archotol.1986.03780020078018

• Aneurysms of the intrapetrous internal carotid artery are rarely encountered and can present difficult diagnostic problems. A review of the literature revealed 34 cases, and we now add a 35th. Presenting symptoms and signs are dependent on the direction of expansion of the aneurysm, with neurologic dysfunction typical of medial expansion, whereas lateral erosion often suggests a glomus tumor.

(Arch Otolaryngol Head Neck Surg 1986;112:198-202)