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Endovascular coil occlusion of a traumatic basilar-cavernous fistula: technical report
G P Teitelbaum1, K Bernstein, S Choi
1Department of Neurological Surgery, University of Southern California School of Medicine, Los Angeles, USA.
Objective And Importance:
We describe an unusual case of an 8-year-old male patient presenting with a traumatic basilar artery aneurysm associated with a basilar-cavernous fistula.
Clinical Presentation:
The fistula occurred as the result of an accident involving a vehicle and a pedestrian. The patient originally presented in a coma and with a dense left hemiparesis.
Intervention:
The traumatic basilar aneurysm and basilar-cavernous fistula were successfully occluded by endovascular coil embolization in two sessions. By 6 months after injury, the patient had made an excellent neurological recovery, requiring only a left leg brace for walking.
Conclusion:
Endovascular coil embolization provided an effective treatment option in the case of this complex and unusual arteriovenous fistula. We discuss the radiological and clinical features of related traumatic neurovascular lesions.