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Reconstructive endovascular treatment of petrous ICA pseudoaneurysm in skull base osteomyelitis: a hidden catastrophe
  1. Bheru Dan Charan1,
  2. Sindhura Thanneru2,
  3. Leve Joseph Devarajan Sebastian3 and
  4. Savyasachi Jain2
  1. 1Interventional Neuroradiology, AIIMS, New Delhi, India
  2. 2AIIMS, New Delhi, India
  3. 3Neuro Radiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Leve Joseph Devarajan Sebastian; leve_s{at}yahoo.com

Abstract

Skull base osteomyelitis can be more life-threatening in immunocompromised patients and patients with diabetes. Here, we present a case of a petrous internal carotid artery pseudoaneurysm resulting from skull base osteomyelitis in a diabetic male in his 50s. This case report highlights the need to be conscious of the various complications associated with skull base osteomyelitis, be proficient in detecting them and treat them as early as possible for better outcomes. After adequate control of the disease process with medical treatment, immediate management of the aneurysm with balloon angioplasty and stenting was done. Acknowledging the trivial nasal and ear bleed, radiological evaluation is necessary to rule out rare complications like pseudoaneurysms in a diagnosed case of skull base osteomyelitis. In the discussion, we have cited the various treatment methods and similar cases of pseudoaneurysm caused by osteomyelitis. Currently, the patient continues to live a disease and disability-free life.

  • Ear, nose and throat
  • Interventional radiology

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Footnotes

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: BDC, ST, DSLJ and SJ. The following authors gave final approval of the manuscript: BDC, ST, DSLJ and SJ.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.