Internal carotid artery aneurysm presenting as orofacial pain.
J Laryngol Otol
; 126(8): 851-3, 2012 Aug.
Article
em En
| MEDLINE
| ID: mdl-22642940
ABSTRACT
OBJECTIVES:
We report a case of an internal carotid artery aneurysm presenting as orofacial pain.METHOD:
Case report and discussion.RESULTS:
A 59-year-old patient presented with a four-year history of chronic oral pain accompanied by a right-sided occipital headache. No local organic pathology was detected, and a provisional diagnosis of persistent idiopathic facial pain was made. A neurosurgery referral was made to exclude neurovascular pathology, which resulted in the detection of an aneurysm originating from the right posterior communicating artery. This was successfully treated by coil embolisation, with subsequent resolution of symptoms.CONCLUSION:
In this patient, an atypical history of pain with no other neurological signs or symptoms, other than accompanying occipital headache, led to the discovery of an intracranial aneurysm. This case highlights the need for appropriate referral and imaging in cases in which the clinical history and findings are not classical, and also emphasises the need for interdisciplinary management.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Facial
/
Doenças das Artérias Carótidas
/
Artéria Carótida Interna
/
Aneurisma Intracraniano
/
Cefaleia
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Laryngol Otol
Assunto da revista:
OTORRINOLARINGOLOGIA
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido