Recurrent epistaxis secondary to aneurysm of internal carotid artery

To the Editor.— Epistaxis secondary to the rupture of an aneurysm of the internal carotid artery in its cavernous portion that has eroded into the sphenoid sinus has been reported infrequently. In 1907, Beadles1in a report of 555 cases of intracranial aneurysms referred to the case of Nettleship. The patient, a 61-year-old woman, eventually died after 2 1/2 years of recurrent bouts of epistaxis. Associated neurological findings included pain in the nose, and proptosis of the left eye. Similar cases have been reported over the years and an association of such aneurysm with a history of preceding trauma has been stressed by Voris and Basile,2Garcia Bengochea et al,3Fabian,4Kinley and Leighninger,5and Seftel et al.6 In the most recent case reported, repeated bouts of epistaxis from an aneurysm of the cavernous sinus portion of the carotid artery followed a severe head