Korean J Cerebrovasc Surg.
2006 Mar;8(1):66-69.
Transvenous Coil Embolization of Traumatic Carotid-Cavernous Fistula Associated with a Persistent Primitive Trigeminal Artery
- Affiliations
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- 1Department of Neurosurgery, Bundang CHA hospital, College of Medicine, Pochon CHA University, Sungnam, Korea.
- 2Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. leejw@yumc.yonsei.ac.kr
- 3Department of Imaging Medicine, Yonsei University College of Medicine, Seoul, Korea.
Abstract
- A 45-year-old male presented with left pulsatile tinnitus and left conjunctival chemosis after blunt head trauma. Cerebral angiography demonstrated a left carotid-cavernous sinus fistula associated with a persistent primitive trigeminal artery. The fistula was packed with detachable coils through the transvenous approach and was successfully occluded without complication, while preserving the patency of the persistent primitive trigeminal artery. The patient's symptoms resolved soon after treatment. Persistent primitive trigeminal artery can be associated with a traumatic cavernous sinus fistula and transvenous coil embolization can be a safe and effective method to immediately occlude the fistula.
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