Delayed Spontaneous Thrombosis of Neglected Direct Carotid-Cavernous Fistula: A Case Report
10.5469euroint.2020.00094
- Author:
Sarbesh TIWARI
1
;
Pawan Kumar GARG
;
Pushpinder Singh KHERA
;
Santosh Babu K.B
;
Taruna YADAV
;
Binit SUREKA
Author Information
1. Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India
- Publication Type:Case Report
- From:Neurointervention
2020;15(2):96-100
- CountryRepublic of Korea
-
Abstract:
Direct carotid-cavernous fistula (CCF) refers to direct communication between the cavernous portion of the internal carotid artery (ICA) and the cavernous sinus due to rent in the ICA, most commonly secondary to trauma. These are generally high-flow fistula and rarely resolve spontaneously. We report a case of a young male who developed features of direct CCF after trauma, was denied any treatment for 4 years, and then presented with spontaneous thrombosis of the fistula and a residual large pseudoaneurysm of the cavernous segment of the right ICA, which was subsequently managed with parent vessel occlusion.