Document Detail

Rupture of an aneurysm of the persistent trigeminal artery presenting as a carotid-cavernous sinus fistula.
MedLine Citation:
PMID:  19874119     Owner:  NLM     Status:  MEDLINE    
A 62-year-old Caucasian female presented with spontaneous right-sided eye pain, chemosis and ophthalmoloplegia. A right carotid-cavernous sinus fistula was discovered and successfully treated with transvenous introduction of Guglielmi detachable coils. In addition to complete fistula occlusion, follow-up angiography 6 weeks post-treatment demonstrated the presence of a patent persistent trigeminal artery previously hidden by the caliber of the carotid-cavernous sinus fistula. The spontaneous nature of the presentation and the proximity of the persistent trigeminal artery to the site of coil embolization suggest spontaneous rupture of a persistent trigeminal artery aneurysm as cause of the fistula. Current literature on this finding is discussed here, demonstrating that an aneurysm of the persistent trigeminal artery leading to carotid-cavernous sinus fistula formation is rare. Furthermore, the present case is the first report of its kind in world ophthalmology literature.
Cynthia Xin-Ya Qian; Chantal Ares; François Codere; Donatella Tampieri
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Orbit (Amsterdam, Netherlands)     Volume:  28     ISSN:  1744-5108     ISO Abbreviation:  Orbit     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-30     Completed Date:  2010-01-13     Revised Date:  2012-03-14    
Medline Journal Info:
Nlm Unique ID:  8301221     Medline TA:  Orbit     Country:  England    
Other Details:
Languages:  eng     Pagination:  275-80     Citation Subset:  IM    
Department of Ophthalmology, University of Montreal, Montreal, Quebec, Canada H3T 1J4.
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MeSH Terms
Aneurysm, Ruptured / radiography*,  therapy*
Basilar Artery
Carotid Artery, Internal
Carotid-Cavernous Sinus Fistula / radiotherapy*,  therapy*
Embolization, Therapeutic
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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