Document 0336
 DOCN  M9490336
 TI    Giant infectious intracavernous carotid artery aneurysm presenting as
       intractable epistaxis.
 DT    9411
 AU    Destian S; Tung H; Gray R; Hinton DR; Day J; Fukushima T; Department of
       Radiology, University of Southern California School; of Medicine.
 SO    Surg Neurol. 1994 Jun;41(6):472-6. Unique Identifier : AIDSLINE
       MED/94337287
 AB    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.
 DE    Adult  Aneurysm, Ruptured/*COMPLICATIONS  AIDS-Related Opportunistic
       Infections/COMPLICATIONS  Carotid Artery
       Diseases/*COMPLICATIONS/PATHOLOGY  Case Report  *Cavernous
       Sinus/PATHOLOGY  Cerebral Aneurysm/*COMPLICATIONS/PATHOLOGY
       Epistaxis/*ETIOLOGY  Human  Male  *Mycobacterium avium Complex
       Mycobacterium avium-intracellulare Infection/*COMPLICATIONS  Prognosis
       JOURNAL ARTICLE

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