Arteriovenous aneurysm of the internal carotid artery in the cavernous sinus.

Abstract

ARTERIOVENOUS aneurysm of the internal carotid artery in the cavernous sinus is not a rare condition—not even an uncommon one —since the literature already shows about a thousand authentic cases. This case is being reported because it was discovered inadvertently when the patient came for treatment of a polypoid ethmoiditis. It is of interest to otolaryngologists not only for that reason but also because it is one more cause for obscure nasal bleeding, which should be borne in mind when refractory nasal hemorrhage occurs with source and cause not easily recognized. On Oct. 6, 1942, I saw for the first time a married woman aged 48 who desired more permanent relief from a bilateral polypoid ethmoiditis, for which she had had frequent removals of polypoid tissue for temporary comfort. Incidentally, she mentioned that for six or eight weeks she had been conscious of a continuous pumping sensation anterior to her