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  • Title: [Extracranial aneurysms of the internal carotid artery--an otorhinolaryngologic problem?].
    Author: Klaeylé D, Mann W, Gilsbach J, Spillner G.
    Journal: Laryngol Rhinol Otol (Stuttg); 1986 Jun; 65(6):352-4. PubMed ID: 3528723.
    Abstract:
    The problem of high cervical internal carotid aneurysms is demonstrated in two patients. One patient presented with a massive intermittent bleeding in the nasopharynx, the second with a sudden paralysis of the cranial nerves 9-12. 2/3 of these extracranial internal carotid aneurysms are situated at the bifurcation of the common carotid artery and 1/3 are located proximal the skull base. These aneurysms can be "congenital" or traumatic in origin or may arise as a complication of otitis media or tonsillitis. Diagnosis should be established by arteriography. Even for asymptomatic aneurysms the present therapeutic concept consists of a multidisciplinary surgical approach with attempted vascular reconstruction, since spontaneous rupture may occur at any moment.
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