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Internal carotid artery aneurysm presenting as sinus pain

Published online by Cambridge University Press:  19 March 2007

H Al-Reefy ,
C A Johnson ,
A Balfour  and
M Dilkes
H Al-Reefy
Affiliation:
ENT Department, St Bartholomew's Hospital, London, UK
C A Johnson
Affiliation:
ENT Department, St Bartholomew's Hospital, London, UK
A Balfour
Affiliation:
ENT Department, St Bartholomew's Hospital, London, UK
M Dilkes
Affiliation:
ENT Department, St Bartholomew's Hospital, London, UK
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Abstract

Sinusitis and its associated facial pain are frequently seen by ENT surgeons. However, it is important to have a high index of suspicion in cases with atypical symptoms, particularly those with unexplained, unilateral, severe facial pain, and to consider an internal carotid artery dissection. This important diagnosis accounts for almost 20 per cent of all strokes in the young, and anti-coagulation can help to prevent thrombosis and embolism. Two cases are presented for illustration.

Keywords

Internal Carotid Artery DissectionFacial Pain
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 10 , October 2007 , pp. 1006 - 1008
Copyright
2007 JLO (1984) Limited

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