Ruptured nontraumatic fusiform aneurysm of the cavernous carotid presenting with multiple episodes of epistaxis.

Epistaxis from rupture of a non-traumatic, cavernous carotid aneurysm is a rare and life threatening event. The evaluation and management of a patient with such a lesion is described. Direct surgical reconstruction of this fusiform aneurysm using an extradural/intradural approach to the cavernous sinus resulted in a satisfactory outcome.