Direct Carotid Cavernous Fistula of an Adult-Type Persistent Primitive Trigeminal Artery with Multiple Vascular Variations
Journal of Korean Neurosurgical Society
;
: 226-228, 2011.
Article
in English
| WPRIM
| ID: wpr-164800
ABSTRACT
We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Arteries
/
Cerebral Angiography
/
Carotid Artery, Internal
/
Exophthalmos
/
Choroid
/
Posterior Cerebral Artery
/
Diplopia
/
Caves
/
Fistula
/
Occipital Lobe
Type of study:
Practice guideline
Limits:
Humans
/
Male
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2011
Type:
Article
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