The Journal of Laryngology & Otology



Clinical Records

Internal carotid artery aneurysm presenting as sinus pain


Al-Reefy a1c1 , C A Johnson a1 , Balfour a1 and Dilkes a1
a1 ENT Department, St Bartholomew's Hospital, London, UK

Article author query
al-reefy h   [PubMed][Google Scholar] 
johnson ca   [PubMed][Google Scholar] 
balfour a   [PubMed][Google Scholar] 
dilkes m   [PubMed][Google Scholar] 

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.

(Published Online March 19 2007)
(Accepted January 4 2007)


Key Words: Internal Carotid Artery Dissection; Facial Pain.

Correspondence:
c1 Address for correspondence: Ms Hiba Al-Reefy, 7 Spruce House, Woodland Crescent, London SE16 6YG, UK. E-mail: drhibaalreefy@hotmail.com


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