비출혈 이후 발생한 경계대 뇌경색증 1예

Otorhinolaryngologists tend to neglect feasible complications epistaxis may cause, because they think that it can be easily controlled with simple method like nasal packing. However it can lead to life-threatening consequences such as myocardial infarction and stroke. We recently experienced a 92-year-old female with borderzone cerebral infarction caused by hypovolemia following epistaxis. Fortunately she has been properly managed with correction of anemia and hemodynamic instability and discharge on her 7th day of admission without sequela. We present this care with a review of literatures to inspire the vigilance on epistaxis-related complications which are rare but sometimes fatal. (J Clinical Otolaryngol 2008;19:223-226)