Am J Otolaryngol Head Neck Surg | Volume 4, Issue 4 | Case Report | Open Access

Internal Carotid Artery Pseudoaneurysm Presenting with Bloody Otorrhea and Horner’s Syndrome in a Child

Fadhel Almolani1, Ali Almomen2*, Jamal Alhamam3, Hussain Alsheef3, Amirah Aldhurais3, Balsam Alawami3, Salma Alhammad3, Hussain Almulla3, Zahra Almoumen3, Kauthar Altawfiq3 and Zainab Ali3

1Department of Radiology, King Fahad Specialist Hospital, Saudi Arabia
2Department of ENT, King Fahad Specialist Hospital, Saudi Arabia
3King Fahad Specialist Hospital, Saudi Arabia

*Correspondance to: Ali Almomen 

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Cervical internal carotid artery pseudoaneurysm is a rare disorder especially in children. The most  common cause of acquired internal carotid artery pseudoaneurysm are trauma and infection. We present a case of a 10 months old girl who present with life threatening ear bleeding and ptosis after history of fever. We diagnosed her with retropharyngeal abscess complicated by ruptured internal carotid artery pseudoaneurysm. She was treated by endovascular carotid artery sacrifice with coiling after establishing her good collateral status of the intracranial circulation.


Carotid artery pseudoaneurysm; Endovascular; Horner’s syndrome


Almolani F, Almomen A, Alhamam J, Alsheef H, Aldhurais, Alawami B, et al. Internal Carotid Artery Pseudoaneurysm Presenting with Bloody Otorrhea and Horner’s Syndrome in a Child. Am J Otolaryngol Head Neck Surg. 2021; 4(4): 1133..

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