Traumatic Carotid Cavernous Fistula Caused by Intradural Aneurysm Rupture: A Case Report.
- Author:
Jae Hoon CHO
1
;
Cheolkyu JUNG
;
Seung Hun SHEEN
;
Bae Ju KWON
;
Moon Hee HAN
Author Information
1. Department of Radiology, Seoul National University College of Medicine, Seoul, Republic of Korea. hanmh@radcom.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Traumatic carotid carvenous fistula;
Intradural aneurysm;
Traumatic rupture;
Coil embolization
- MeSH:
Accidents, Traffic;
Adult;
Aneurysm*;
Arteries;
Cerebral Angiography;
Embolization, Therapeutic;
Emergencies;
Fistula*;
Humans;
Intracranial Aneurysm;
Masks;
Parents;
Rupture*
- From:Neurointervention
2006;1(1):39-43
- CountryRepublic of Korea
- Language:English
-
Abstract:
Traumatic carotid carvenous fistula (CCF) associated with cerebral aneurysm is a rare condition. Early detection of the traumatic cerebral aneurysm (TCA) before traumatic CCF occlusion is difficult, largely because of steal phenomenon of the fistula, masking by complex venous drains and a nearby parent artery, and a latent period of the TCA. In addition, traumatic CCF caused by a combined aneurysm rupture is an extremely rare condition. It is a dangerous condition in which treatment should be performed immediately or even on an emergency basis. A 31-year-old man developed traumatic CCF after traffic accident. Cerebral angiography revealed a direct CCF communicated with an intradural aneurysm on the origin of right posterior communicating artery (PcomA). Successful transarterial coil embolization was achieved after consecutive two trials.
