Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea
Abstract Objective This case report is designed to illustrate an uncommon presentation of osteoradionecrosis (ORN) of the temporal bone and a treatment method for bloody otorrhea from a pseudoaneurysm of the internal carotid artery (ICA). Design This is a single patient cas...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2013-07-01
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| Series: | Journal of Neurological Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348954 |
| _version_ | 1811226477715259392 |
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| author | Alexander G. Bien Marshall C. Cress Susan B. Nguyen Steven J. Westgate Ashish Nanda |
| author_facet | Alexander G. Bien Marshall C. Cress Susan B. Nguyen Steven J. Westgate Ashish Nanda |
| author_sort | Alexander G. Bien |
| collection | DOAJ |
| description | Abstract
Objective This case report is designed to illustrate an uncommon presentation of osteoradionecrosis (ORN) of the temporal bone and a treatment method for bloody otorrhea from a pseudoaneurysm of the internal carotid artery (ICA).
Design This is a single patient case report
Setting University of Missouri-Columbia Hospital and Clinics.
Participants The report describes a patient with a history of hypopharyngeal squamous cell carcinoma (SCCA) who was previously treated with chemoradiation therapy and salvage bilateral neck dissections and then presented in a delayed fashion with profuse, episodic bloody otorrhea. Computed tomography (CT) was consistent with ORN of the temporal bone. The patient underwent emergent cerebral angiography. A pseudoaneurysm of the cervicopetrous ICA was confirmed to be the source of the patient's bloody otorrhea. The lesion was treated by endovascular sacrifice of the ICA using the two-catheter coiling technique.
Results The patient had no neurologic sequelae or further bleeding after treatment.
Conclusions Bloody otorrhea is an uncommon presentation of ORN. Sacrifice of the internal carotid can be considered as a treatment when the source is pseudoaneurysmal. |
| first_indexed | 2024-04-12T09:25:52Z |
| format | Article |
| id | doaj.art-5bf03d230556491a8c25d8f71fb27080 |
| institution | Directory Open Access Journal |
| issn | 2193-6358 2193-6366 |
| language | English |
| last_indexed | 2024-04-12T09:25:52Z |
| publishDate | 2013-07-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Neurological Surgery Reports |
| spelling | doaj.art-5bf03d230556491a8c25d8f71fb270802022-12-22T03:38:29ZengGeorg Thieme Verlag KGJournal of Neurological Surgery Reports2193-63582193-63662013-07-01740208809110.1055/s-0033-1348954Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody OtorrheaAlexander G. Bien0Marshall C. Cress1Susan B. Nguyen2Steven J. Westgate3Ashish Nanda4Department of Otolaryngology-Head and Neck Surgery, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United StatesDepartment of Neurosurgery, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United StatesDepartment of Otolaryngology-Head and Neck Surgery, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United StatesDepartment of Radiation Oncology, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United StatesDepartment of Neurosurgery, University of Missouri-Columbia School of Medicine, Columbia, Missouri, United StatesAbstract Objective This case report is designed to illustrate an uncommon presentation of osteoradionecrosis (ORN) of the temporal bone and a treatment method for bloody otorrhea from a pseudoaneurysm of the internal carotid artery (ICA). Design This is a single patient case report Setting University of Missouri-Columbia Hospital and Clinics. Participants The report describes a patient with a history of hypopharyngeal squamous cell carcinoma (SCCA) who was previously treated with chemoradiation therapy and salvage bilateral neck dissections and then presented in a delayed fashion with profuse, episodic bloody otorrhea. Computed tomography (CT) was consistent with ORN of the temporal bone. The patient underwent emergent cerebral angiography. A pseudoaneurysm of the cervicopetrous ICA was confirmed to be the source of the patient's bloody otorrhea. The lesion was treated by endovascular sacrifice of the ICA using the two-catheter coiling technique. Results The patient had no neurologic sequelae or further bleeding after treatment. Conclusions Bloody otorrhea is an uncommon presentation of ORN. Sacrifice of the internal carotid can be considered as a treatment when the source is pseudoaneurysmal.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348954osteoradionecrosistemporal bonebloody otorrheaendovascular coilingradiation |
| spellingShingle | Alexander G. Bien Marshall C. Cress Susan B. Nguyen Steven J. Westgate Ashish Nanda Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea Journal of Neurological Surgery Reports osteoradionecrosis temporal bone bloody otorrhea endovascular coiling radiation |
| title | Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea |
| title_full | Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea |
| title_fullStr | Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea |
| title_full_unstemmed | Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea |
| title_short | Endovascular Treatment of a Temporal Bone Pseudoaneurysm Presenting as Bloody Otorrhea |
| title_sort | endovascular treatment of a temporal bone pseudoaneurysm presenting as bloody otorrhea |
| topic | osteoradionecrosis temporal bone bloody otorrhea endovascular coiling radiation |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1348954 |
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