Literature DB >> 21785245

Carotid-cavernous fistula caused by rupture of persistent primitive trigeminal artery trunk aneurysm--case report.

Masahiro Yoshida1, Masayuki Ezura, Masaki Mino.   

Abstract

A 60-year-old female presented with a carotid-cavernous fistula (CCF) manifesting as left abducens nerve palsy. Left internal carotid digital subtraction angiography showed a persistent primitive trigeminal artery (PPTA) near the CCF. Super-selective angiography showed direct shunt flow between the PPTA trunk aneurysm and the left cavernous sinus. The aneurysm was successfully occluded with detachable coils. The CCF disappeared and the PPTA was preserved. The abducens nerve paralysis had disappeared 6 months later. CCF caused by a PPTA trunk aneurysm is extremely rare. We speculate that the PPTA trunk aneurysm formed and then ruptured due to hemodynamic stress caused by hypoplasia of the basilar artery.

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Year:  2011        PMID： 21785245     DOI： 10.2176/nmc.51.507

Source DB:  PubMed          Journal:  Neurol Med Chir (Tokyo)        ISSN： 0470-8105            Impact factor:   1.742


  7 in total

Review 1.  Rare saccular aneurysm in a medial type persistent trigeminal artery trunk and literature review.

Authors:  Min Bai; Qian Guo; Yunxia Sun
Journal:  Surg Radiol Anat       Date:  2013-07-13       Impact factor: 1.246

2.  Bilateral persistent trigeminal arteries with unilateral trigeminal artery to cavernous sinus fistula. A case report.

Authors:  David Chen; Chi-Jen Chen; Jiann-Jy Chen; Ying-Chi Tseng; Hui-Ling Hsu; Jan-Wen Ku
Journal:  Interv Neuroradiol       Date:  2013-09-26       Impact factor: 1.610

3.  Spontaneous direct carotid-cavernous sinus fistula secondary to a persistent primitive trigeminal artery treated by trans-venous coil embolisation.

Authors:  Andrew Imrie; Kendal Redmond; David Leggett
Journal:  Interv Neuroradiol       Date:  2018-05-12       Impact factor: 1.610

4.  Carotid-cavernous Fistula Associated with a Ruptured Persistent Primitive Trigeminal Artery Aneurysm: A Case Report and Review of Literature.

Authors:  Koji Shiomi; Yukihiro Yamao; Akira Ishii; Takayuki Kikuchi; Masakazu Okawa; Kiyofumi Yamada; Kazumichi Yoshida; Susumu Miyamoto
Journal:  NMC Case Rep J       Date:  2021-10-16

Review 5.  Clinical Importance of the Persistent Primitive Trigeminal Artery in Vascular Lesions and Its Role in Endovascular Treatment.

Authors:  Yiheng Wang; Jinlu Yu
Journal:  Front Neurol       Date:  2022-07-11       Impact factor: 4.086

6.  Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture.

Authors:  Peng Sun; Yuan Chai; Wei Fang; Hu Chen; Qianfa Long; Zhenwei Zhao; Tao Zhang
Journal:  Front Neurol       Date:  2022-09-06       Impact factor: 4.086

7.  Anatomical features and clinical relevance of a persistent trigeminal artery.

Authors:  Gabriel Alcalá-Cerra; R S Tubbs; Lucía M Niño-Hernández
Journal:  Surg Neurol Int       Date:  2012-09-28
  7 in total

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