Traumatic Carotid-Cavernous Fistula Associated With Persistent Primitive Trigeminal Artery Treated by Transarterial Coil Embolization: Case Report

A 30-year-old woman presented with traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery (PPTA) manifesting as right conjunctival chemosis, exophthalmos, and diplopia. The lesion was treated successfully by trans-arterial coil embolization using the double cathet...

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Veröffentlicht in:	Neurologia medico-chirurgica 2011, Vol.51(1), pp.37-40
Hauptverfasser:	KOBAYASHI, Nozomu, MIYACHI, Shigeru, OI, Sachie, YAMAMOTO, Naohito
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult balloon assist Carotid-Cavernous Sinus Fistula - diagnostic imaging Carotid-Cavernous Sinus Fistula - therapy Cerebral Angiography Cerebral Arteries - abnormalities Cerebral Arteries - diagnostic imaging Cerebral Arteries - injuries coil embolization Conjunctivitis - etiology Diplopia - etiology double catheter Edema - etiology Embolization, Therapeutic - methods Exophthalmos - etiology Female Head Injuries, Closed - complications Head Injuries, Closed - diagnostic imaging Humans Magnetic Resonance Angiography persistent primitive trigeminal artery traumatic carotid-cavernous fistula
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Zusammenfassung:	A 30-year-old woman presented with traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery (PPTA) manifesting as right conjunctival chemosis, exophthalmos, and diplopia. The lesion was treated successfully by trans-arterial coil embolization using the double catheter method with balloon assist. Injury to the PPTA is relatively rare and the PPTA should be sacrificed together with the fistula during the repair.
ISSN:	0470-8105 1349-8029
DOI:	10.2176/nmc.51.37