Parent artery occlusion of a giant internal carotid artery pseudoaneurysm-related direct carotid cavernous fistula: A case report
10.7461/jcen.2023.E2022.06.005
- Author:
Alexander ANDREEV
1
;
Nadia MCMILLAN
;
Kelli MONEY
;
Max SHUTRAN
;
Christopher OGILVY
Author Information
1. Department of Neurology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
- Publication Type:Case Report
- From:Journal of Cerebrovascular and Endovascular Neurosurgery
2023;25(3):306-310
- CountryRepublic of Korea
- Language:English
-
Abstract:
Traumatic internal carotid artery injuries can produce direct carotid-cavernous fistulas as well as giant internal carotid artery pseudoaneurysms. Clinical sequelae can include headaches, cranial nerves palsies, proptosis, chemosis and optic neuropathy with visual loss as the most dangerous complication. Herein, we present a case of one of the largest reported internal carotid artery pseudoaneurysms associated with a direct carotid cavernous fistula. We describe the techniques and pitfalls of treatment with parent vessel occlusion.