J Cerebrovasc Endovasc Neurosurg.  2023 Sep;25(3):306-310. 10.7461/jcen.2023.E2022.06.005.

Parent artery occlusion of a giant internal carotid artery pseudoaneurysm-related direct carotid cavernous fistula: A case report

• Andreev A
• McMillan N
• Money K
• Shutran M
• Ogilvy C

• KMID: 2546167
• DOI: http://doi.org/10.7461/jcen.2023.E2022.06.005

Abstract

Traumatic internal carotid artery injuries can produce direct carotid-cavernous fistulas as well as giant internal carotid artery pseudoaneurysms. Clinical sequelae can include headaches, cranial nerves palsies, proptosis, chemosis and optic neuropathy with visual loss as the most dangerous complication. Herein, we present a case of one of the largest reported internal carotid artery pseudoaneurysms associated with a direct carotid cavernous fistula. We describe the techniques and pitfalls of treatment with parent vessel occlusion.

Keyword

Internal carotid artery; Carotid-cavernous sinus fistula; Carotid artery injuries