Direct Carotid Cavernous Fistula of an Adult-Type Persistent Primitive Trigeminal Artery with Multiple Vascular Variations.
10.3340/jkns.2011.49.4.226
- Author:
Sung Chul JIN
1
;
Hyun PARK
;
Do Hoon KWON
;
Choong Gon CHOI
Author Information
1. Cerebrovascular Center, Inje University, Haeundae Paik Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
Persistent primitive trigeminal artery;
Carotid cavernous fistula;
Duplicated posterior cerebral artery
- MeSH:
Arteries;
Carotid Artery, Internal;
Caves;
Cerebral Angiography;
Choroid;
Diplopia;
Exophthalmos;
Fistula;
Humans;
Male;
Middle Aged;
Occipital Lobe;
Posterior Cerebral Artery
- From:Journal of Korean Neurosurgical Society
2011;49(4):226-228
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.
