J Korean Neurol Assoc.
2013 Aug;31(3):192-195.
Incidentally Discovered Direct Carotid-Cavernous Fistula in a Patient With Anterior Choroidal Artery Territory Infarction
- Affiliations
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- 1Department of Neurology, Gyeongsang National University School of Medicine, Jinju, Korea. sonsn@hanmail.net
- 2Department of Radiology, Gyeongsang National University School of Medicine, Jinju, Korea.
- 3Department of Rehabilitation Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.
- 4Gyeongnam Regional Cardiocerebrovascular Disease Center, Jinju, Korea.
Abstract
- Direct carotid cavernous fistula (CCF), which is an abnormal communication between the intracavernous carotid artery and the cavernous sinus, is a very rare condition that is generally associated with head trauma, intracavernous aneurysms, and certain connective-tissue diseases. The case of a patient with an infarction in the anterior choroidal artery territory is described herein. Cerebral angiography was performed during consecutive workups to investigate the discrepancy between the magnetic resonance angiography data. An unexpected direct CCF of the ipsilateral side of the infarction was found. It is possible that the CCF had influenced the development of the infarction in the anterior choroidal artery territory.
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