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Coil embolization of a trigeminal-cavernous fistula
K Bernstein1, G P Teitelbaum, B Herman
1Department of Neuroradiology, USC School of Medicine, Los Angeles, CA, USA.
AJNR. American Journal of Neuroradiology
|January 5, 1999
Summary
A spontaneous trigeminal artery-cavernous sinus fistula in a 53-year-old woman caused a bruit and sixth nerve palsy. Coil embolization effectively treated this rare vascular lesion.
Area of Science:
- Neurology
- Vascular Surgery
- Interventional Radiology
Background:
- Trigeminal artery-cavernous sinus fistulas are rare cerebrovascular malformations.
- Spontaneous onset is uncommon, often presenting with distinct neurological deficits.
Observation:
- A 53-year-old woman presented with an intracranial bruit and right sixth nerve palsy.
- Imaging confirmed a right trigeminal artery-cavernous sinus fistula.
Findings:
- The fistula was successfully treated using a combined transvenous and transarterial coil embolization technique.
- This minimally invasive approach achieved complete occlusion of the fistula.
Implications:
- Coil embolization is a safe and effective treatment for spontaneous trigeminal artery-cavernous sinus fistulas.
- Demonstrates the utility of endovascular techniques in managing complex dural arteriovenous fistulas.