{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:38:52Z","timestamp":1776818332431,"version":"3.51.2"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2004,7,9]],"date-time":"2004-07-09T00:00:00Z","timestamp":1089331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background.<\/jats:title><jats:p>Carotid artery aneurysms are a rare cause of epistaxis. The most common presentation for nontraumatic cavernous internal carotid artery aneurysms is mass effect, with only 3% presenting with hemorrhage. We present a case of epistaxis caused by a nontraumatic cavernous internal carotid artery aneurysm.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>A 73\u2010year\u2010old white woman was seen with a 1\u2010month history of recurrent right\u2010sided epistaxis. The patient had essential hypertension and a family history of intracranial aneurysm. A complete otolaryngologic, neurologic, and ophthalmologic examinations were normal. Contrast\u2010enhanced CT of the paranasal sinuses revealed a trilobed aneurysm of the cavernous segment of the right internal carotid artery. Coil embolization of the cavernous aneurysm and right internal artery was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>The patient has had no further episodes of epistaxis and has remained neurologically intact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Carotid artery aneurysms must be considered in the differential diagnosis of profuse epistaxis. \u00a9 2004 Wiley Periodicals, Inc. <jats:italic>Head Neck<\/jats:italic> <jats:bold>26:<\/jats:bold> 741\u2013746, 2004<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.20081","type":"journal-article","created":{"date-parts":[[2004,7,9]],"date-time":"2004-07-09T19:03:16Z","timestamp":1089399796000},"page":"741-746","source":"Crossref","is-referenced-by-count":27,"title":["Cavernous carotid aneurysm presenting with epistaxis"],"prefix":"10.1002","volume":"26","author":[{"given":"Houtan","family":"Chaboki","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aman B.","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Freifeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark L.","family":"Urken","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter M.","family":"Som","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,7,9]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"317","article-title":"Epistaxis: a clinical study of 1724 patients","volume":"88","author":"Holger J","year":"1974","journal-title":"J Laryngol Otol"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100087508"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2002.96.1.0003"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.18002610208"},{"key":"e_1_2_5_6_2","first-page":"241","article-title":"Severe epistaxis caused by traumatic aneurysm of cavernous carotid artery","volume":"5","author":"Handa J","year":"1976","journal-title":"Surg Neurol"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1259\/0007-1285-66-790-942"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199803000-00004"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(91)90225-X"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1990.72.6.0857"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1992.77.5.0690"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/30.3.285"},{"key":"e_1_2_5_13_2","series-title":"Intracranial aneurysms","author":"Fox JL","year":"1983"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0090-3019(94)90395-6"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.3950\/jibiinkoka.94.9_1257"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100109156"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.28.904"},{"key":"e_1_2_5_18_2","first-page":"347","article-title":"[Bilateral giant carotid aneurysm in the cavernous sinus with a carotid\u2010cavernous fistula on one side, case report (author's transl)]","volume":"3","author":"Shibata S","year":"1975","journal-title":"No Shinkei Geka"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016486209127368"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01406788"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000711"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1975.43.3.0288"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/00041327-200020040-00010"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.29.1.251"},{"key":"e_1_2_5_25_2","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1056\/NEJM199812103392401","article-title":"Unruptured intracranial aneurysms\u2014risk of rupture and risks of surgical intervention. 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