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Skull base surgery. 1993 July; 3(3): 164–169.
PMCID: PMC1656438

Gradual Facial Palsy and Intrapetrous Internal Carotid Aneurysm

A Case Report


A case of aneurysm of the horizontal intratemporal carotid artery with compression of the facial nerve is presented. Exclusion of the aneurysm with an intraluminal balloon did not relieve the facial nerve compression. Surgical resection of the aneurysm and repair of the facial nerve continuity was successfully performed through a combined transmastoid supralabyrinthine approach, after permanent balloon occlusion of the internal carotid artery.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Glassock ME, 3rd, Smith PG, Bond AG, Whitaker SR, Bartels LJ. Management of aneurysms of the petrous portion of the internal carotid artery by resection and primary anastomosis. Laryngoscope. 1983 Nov;93(11 Pt 1):1445–1453. [PubMed]
  • Fisch UP, Oldring DJ, Senning A. Surgical therapy of internal carotid artery lesions of the skull base and temporal bone. Otolaryngol Head Neck Surg (1979) 1980 Sep-Oct;88(5):548–554. [PubMed]
  • Brandt TW, Jenkins HA, Coker NJ. Facial paralysis as the initial presentation of an internal carotid artery aneurysm. Arch Otolaryngol Head Neck Surg. 1986 Feb;112(2):198–202. [PubMed]
  • Fisch U, Lanser MJ. Facial nerve grafting. Otolaryngol Clin North Am. 1991 Jun;24(3):691–708. [PubMed]
  • Moskowitz D, Lee KJ, Goodrich I. Intrapetrous internal carotid aneurysm presenting as a middle ear tumor. Otolaryngol Head Neck Surg. 1983 Jun;91(3):326–330. [PubMed]
  • Shimizu T, Sakakura Y, Yamagiwa M, Hori M, Yuasa H, Murata M. Aneurysm of the extracranial carotid artery. Arch Otolaryngol Head Neck Surg. 1986 Feb;112(2):203–206. [PubMed]
  • Hesselink JR, Weber AL. X-ray study of the month. Petrous carotid aneurysm. Ann Otol Rhinol Laryngol. 1983 Mar-Apr;92(2 Pt 1):207–208. [PubMed]
  • Roski RA, Spetzler RF, Nulsen FE. Late complications of carotid ligation in the treatment of intracranial aneurysms. J Neurosurg. 1981 May;54(5):583–587. [PubMed]
  • Andrews JC, Valavanis A, Fisch U. Management of the internal carotid artery in surgery of the skull base. Laryngoscope. 1989 Dec;99(12):1224–1229. [PubMed]
  • Triebel HJ, Grzyska U, Frehrking M, Zeumer H. Klinische und MRT-Verlaufskontrollen von Karotisaneurysmen nach Ballonembolisation. Radiologe. 1989 Sep;29(9):427–431. [PubMed]

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