Epistaxis From Rupture of Aneurysm of Internal Carotid Artery

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Abstract
To the Editor.— Epistaxis secondary to the rupture of an aneurysm of the internal carotid artery which has eroded into the paranasal sinus is a rare clinical entity. To our knowledge, only 20 cases have been reported in the literature. This case is added not only because of the rarity of the pathological condition, but also because of the treatment and results. Report of a Case.— A 70-year-old white woman was first seen in January of 1955 with a chief complaint of recurrent epistaxis on the left side. Intermittent mild attacks of epistaxis occurred over a period of several years, but the frequency and severity of the attacks had increased shortly before admission. There was an associated history of hypertension. Twenty years earlier the patient had experienced sudden loss of visual acuity in the left eye, diagnosed as the result of a central retinal vessel thrombosis. She regained partial vision

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