Neurofibromatosis is a genetic condition characterized by localized over-gr
owth of mesodermal and ectodermal tissues. Neurofibromatosis type 1 is char
acterized by cutaneous and skeletal abnormalities. Angiopathy is rare. We d
escribe a new presentation of angiopathy in neurofibromatosis type 1. The p
atient presented with extensive bruising of the right side of her neck toge
ther with intra-oral and pharyngeal submucosal haemorrhage. Radiological in
vestigation confirmed that an aneurysm of the right ascending pharyngeal ar
tery had ruptured. This was successfully embolized without complication.