Otorrhagia as the initial presentation of an internal carotid artery aneurysm in the middle ear. Case presentation

Abstract

AbstractA new case of a 50-year-old female who presented with left otorrhagia caused by an internal carotid aneurysm is reported. No medical history of  tinnitus, vertigo, otalgia or otorrhea. Middle ear surgery was effective in resolving bleeding and did not cause any permanent neurological deficit. High resolution computed tomography angiography is the technique of choice and, in some cases, can be complemented with a magnetic resonance  angiography. Misdiagnosis of the internal carotid artery aneurysm may lead to serious morbidity because of  bleeding or vascular occlusion.