Neurointervention.  2006 Aug;1(1):39-43.

Traumatic Carotid Cavernous Fistula Caused by Intradural Aneurysm Rupture: A Case Report

• Cho JH
• Jung C
• Sheen SH
• Kwon BJ
• Han MH

Abstract

Traumatic carotid carvenous fistula (CCF) associated with cerebral aneurysm is a rare condition. Early detection of the traumatic cerebral aneurysm (TCA) before traumatic CCF occlusion is difficult, largely because of steal phenomenon of the fistula, masking by complex venous drains and a nearby parent artery, and a latent period of the TCA. In addition, traumatic CCF caused by a combined aneurysm rupture is an extremely rare condition. It is a dangerous condition in which treatment should be performed immediately or even on an emergency basis. A 31-year-old man developed traumatic CCF after traffic accident. Cerebral angiography revealed a direct CCF communicated with an intradural aneurysm on the origin of right posterior communicating artery (PcomA). Successful transarterial coil embolization was achieved after consecutive two trials.

Keyword

Traumatic carotid carvenous fistula; Intradural aneurysm; Traumatic rupture; Coil embolization

MeSH Terms

Accidents, Traffic
Adult
Aneurysm*
Arteries
Cerebral Angiography
Embolization, Therapeutic
Emergencies
Fistula*
Humans
Intracranial Aneurysm
Masks
Parents
Rupture*