| Literature DB >> 31439523 |
Yu Fan1, Yuechun Li1, Tianyou Zhang1, Changchun Jiang2, Peng Zhang3.
Abstract
Carotid-Cavernous sinus fistula (CCF) caused by a ruptured aneurysm of persistent primitive trigeminal artery (PPTA) is exceptionally rare. Herein, we reported the case of a 64-year-old female who presented with headache, pulsatile tinnitus, and diplopia. Angiography showed a PPTA and CCF. Three-dimensional digital subtraction angiograms revealed a direct shunt between the PPTA aneurysm and the left cavernous sinus. The trigeminal carotid fistula was successfully treated with detachable coils and Onyx, and the PPTA was preserved. Hence, coil and Onyx occlusion of the cavernous sinus is a safe and effective treatment for trigeminal carotid fistula.Entities:
Keywords: Carotid-cavernous sinus fistula; aneurysm; endovascular therapy; persistent primitive trigeminal artery
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Year: 2019 PMID: 31439523 DOI: 10.1016/j.jstrokecerebrovasdis.2019.104306
Source DB: PubMed Journal: J Stroke Cerebrovasc Dis ISSN: 1052-3057 Impact factor: 2.136