Document Detail

Direct surgery for posttraumatic carotid-cavernous fistula as a result of an intradural pseudoaneurysm: case report.
MedLine Citation:
PMID:  12234419     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE AND IMPORTANCE: Traumatic carotid-cavernous fistula (CCF) is currently treated with interventional neuroradiological embolization procedures. A rare case of posttraumatic CCF that resulted from an intradural pseudoaneurysm is presented. The patient was treated by direct surgery because an embolization procedure was not suitable. CLINICAL PRESENTATION: A 16-year-old boy developed chemosis in the right eye 17 days after a traffic accident. Angiography revealed a pseudoaneurysm that arose from the site of origin of the posterior communicating artery, drained directly into the cavernous sinus, and formed a high-flow CCF. INTERVENTION: Direct surgery was performed to repair the arterial laceration at the junction of the internal carotid artery and the posterior communicating artery. A clip was applied along the internal carotid artery. The posterior stump of the damaged posterior communicating artery was also included in the clip. Postoperatively, the CCF and pseudoaneurysm were completely obliterated, and the symptoms were cured. CONCLUSION: Awareness of an unusual intradural origin of a CCF and the possibility of a direct surgical treatment should be kept in mind.
Yoshihiko Fu; Kenji Ohata; Naohiro Tsuyuguchi; Mitsuhiro Hara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  51     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-09-17     Completed Date:  2002-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1071-3; discussion 1073-4     Citation Subset:  IM    
Department of Neurosurgery, Tsukazaki Hospital, Himeji, Japan.
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MeSH Terms
Aneurysm, False / complications*,  radiography
Carotid Artery Injuries / complications*,  surgery
Carotid Artery, Internal
Carotid-Cavernous Sinus Fistula / etiology*,  radiography,  surgery*
Cerebral Angiography
Dura Mater / blood supply*
Tomography, X-Ray Computed

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