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Near fatal haemorrhage 35 years after radiation for laryngeal cancer: emergency embolisation of a vertebral artery aneurysm
  1. M Martinez Del Pero1,
  2. S Majumdar1,
  3. S C Coley2,
  4. A J Parker1
  1. 1Department of Ear, Nose and Throat, Royal Hallamshire Hospital, Sheffield, UK
  2. 2Department of Neuroradiology, Royal Hallamshire Hospital, Sheffield, UK
  1. Correspondence to:
 M Martinez Del Pero
 Department of Ear, Nose and Throat, Royal Hallamshire Hospital, Glossop Road, Sheffield S10 2JF, UK; marcos{at}


The authors report a rare case of a 75 year old man who presented 35 years after radiotherapy for carcinoma of the larynx, with catastrophic bleeding through the mouth. Both the time and mode of presentation were unusual. The patient required emergency sacrifice of the left vertebral artery to stop the bleeding. The literature has been reviewed.

  • osteoradionecrosis
  • haemorrhage and radiotherapy
  • vertebral artery embolisation

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