Direct caroticocavernous fistula and traumatic dissection of the ipsilateral internal carotid artery: endovascular treatment

Neuroradiology. 2000 Jan;42(1):62-5. doi: 10.1007/s002340050016.

Abstract

After severe craniocerebral trauma a 14-year-old boy developed progressive exophthalmos with venous congestion and chemosis, due to a direct caroticocavernous fistula. Angiography revealed traumatic occlusion of the ipsilateral internal carotid artery and absence of the inferior petrosal sinus. After failure of an approach via the anterior and posterior communicating arteries, the cavernous sinus was successfully catheterised through the occluded internal carotid artery, and embolisation performed with coils.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Aortic Dissection / pathology
  • Aortic Dissection / therapy*
  • Arterial Occlusive Diseases / pathology
  • Arterial Occlusive Diseases / therapy
  • Brain Injuries / pathology
  • Brain Injuries / therapy*
  • Carotid Artery Diseases / pathology
  • Carotid Artery Diseases / therapy*
  • Carotid Artery, Internal / pathology
  • Carotid-Cavernous Sinus Fistula / pathology
  • Carotid-Cavernous Sinus Fistula / therapy*
  • Cerebral Angiography
  • Embolization, Therapeutic*
  • Humans
  • Male
  • Tomography, X-Ray Computed