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Traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery treated by transarterial
Nozomu Kobayashi1, Shigeru Miyachi, Sachie Oi
1Department of Neurosurgery, Kainan Hospital, Aichi Prefectural Welfare Federation of Agricultural Cooperatives, Yatomi, Aichi, Japan. cbk71850@pop06.odn.ne.jp
Neurologia Medico-Chirurgica
|January 29, 2011
Abstract:
A 30-year-old woman presented with traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery (PPTA) manifesting as right conjunctival chemosis, exophthalmos, and diplopia. The lesion was treated successfully by trans-arterial coil embolization using the double catheter method with balloon assist. Injury to the PPTA is relatively rare and the PPTA should be sacrificed together with the fistula during the repair.