非外傷性内頚動脈動脈瘤破裂による大量鼻出血症例

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A 44-year-old Japanese man experienced severe recurrent epistaxis through the left nostril, yet the history of the patient revealed no apparent trauma. An infraclinoid aneurysm of the left internal carotid artery was angiographically demonstrated. The internal carotid artery was ligated in the neck, and the intracranial portion of the internal carotid artery was clipped proximal to the posterior communicating artery. This trapping procedure was performed satisfactorily. Post-operatively there were no neurological side effects or ophthalmic signs. Recovery was uneventful and without further epistaxis.
耳鼻咽喉科臨床学会の論文