Giant infectious intracavernous carotid artery aneurysm presenting as intractable epistaxis

Surg Neurol. 1994 Jun;41(6):472-6. doi: 10.1016/0090-3019(94)90010-8.


Infectious intracavernous carotid artery aneurysms usually present with ophthalmoplegia and/or signs of cavernous sinus thrombosis. We report an unusual case in which a patient with AIDS presented with intractable epistaxis secondary to rupture of a giant infectious intracavernous carotid artery aneurysm. Culture of the aneurysm grew mycobacterium avium intracellulare (MAI). The patient was treated successfully by excision of the aneurysm and reconstruction of the internal carotid artery with a saphenous vein interposition graft.

Publication types

  • Case Reports

MeSH terms

  • AIDS-Related Opportunistic Infections / complications
  • Adult
  • Aneurysm, Ruptured / complications*
  • Carotid Artery Diseases / complications*
  • Carotid Artery Diseases / pathology
  • Cavernous Sinus* / pathology
  • Epistaxis / etiology*
  • Humans
  • Intracranial Aneurysm / complications*
  • Intracranial Aneurysm / pathology
  • Male
  • Mycobacterium avium Complex*
  • Mycobacterium avium-intracellulare Infection / complications*
  • Prognosis