Neurointervention  2020;15(2):96-100

doi:10.5469euroint.2020.00094

Delayed Spontaneous Thrombosis of Neglected Direct Carotid-Cavernous Fistula: A Case Report

Sarbesh TIWARI 1 ; Pawan Kumar GARG ; Pushpinder Singh KHERA ; Santosh Babu K.B ; Taruna YADAV ; Binit SUREKA

Affiliations

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Country

Republic of Korea

Language

English

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.