scholarly journals Spontaneous direct carotid-cavernous sinus fistula secondary to a persistent primitive trigeminal artery treated by trans-venous coil embolisation

2018 ◽  
Vol 24 (5) ◽  
pp. 567-570 ◽  
Author(s):  
Andrew Imrie ◽  
Kendal Redmond ◽  
David Leggett
Keyword(s):  
Cavernous Sinus ◽  
Trigeminal Artery ◽  
Coil Embolisation ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Persistent Primitive Trigeminal Artery ◽  
History Of ◽  
Carotid Cavernous Sinus Fistula ◽  
Primitive Trigeminal Artery ◽  
Direct Carotid Cavernous Fistula

A healthy 51-year-old female presented with a spontaneous direct carotid-cavernous sinus fistula associated with a persistent primitive trigeminal artery. She had no history of connective tissue or cerebrovascular disorders or significant head trauma. This is a rare lesion with only 18 previously reported cases. It had similar clinical presentation and imaging appearance to a high-flow direct carotid-cavernous fistula and was uncovered after successful trans-venous coil embolisation of the fistula. It therefore needs to be considered in cases of direct carotid-cavernous fistula without history of trauma. Knowledge of types of persistent primitive trigeminal artery is also important for their critical treatment implications.

Rupture of Persistent Primitive Trigeminal Artery Aneurysm Associated with a Cavernous Sinus Fistula

2009 ◽  
Vol 22 (4) ◽  
pp. 471-475 ◽  
Author(s):  
L. Liu ◽  
H. He ◽  
Y. Li ◽  
C. Jiang ◽  
Z. Wu
Keyword(s):  
Cavernous Sinus ◽  
Artery Aneurysm ◽  
Trigeminal Artery ◽  
Carotid Cavernous Fistula ◽  
Effective Technique ◽  
Persistent Primitive Trigeminal Artery ◽  
Coil Occlusion ◽  
Carotid Cavernous Sinus Fistula ◽  
Primitive Trigeminal Artery ◽  
Flow Stasis

We describe a patient with an aneurysm arising at a persistent primitive trigeminal artery ruptured to form a carotid-cavernous fistula. Coil occlusion of the carotid cavernous sinus fistula resulted in flow stasis of the persistent primitive trigeminal artery and resolution of symptoms. A ruptured aneurysm of the persistent primitive trigeminal artery can be associated with a carotid cavernous sinus fistula. Coil occlusion of the cavernous sinus and the PPTA is a safe and effective technique to treat this disease.

scholarly journals Post-Traumatic Cavernous Fistula Fed by Persistent Trigeminal Artery: Treatment by GDC Embolisation

2001 ◽  
Vol 7 (1) ◽  
pp. 47-50 ◽  
Author(s):  
P.S. Deol ◽  
N.K. Mishra ◽  
V. Gupta ◽  
S.B. Gaikwad ◽  
A. Garg ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Posterior Circulation ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Cavernous Fistula ◽  
Persistent Primitive Trigeminal Artery ◽  
Balloon Embolisation ◽  
Post Traumatic ◽  
Primitive Trigeminal Artery

A case of traumatic persistent primitive trigeminal artery (PPTA) cavernous sinus fistula treated with GDC embolisation is reported. Because of the small lumen of PPTA, posteriorly directed course and flow contribution from the posterior circulation, balloon embolisation via the carotid system was not considered appropriate. The fistula was successfully closed by GDC embolisation.

scholarly journals Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient

Folia Medica ◽  
2017 ◽  
Vol 59 (4) ◽  
pp. 472-476
Author(s):  
Stanimir S. Sirakov ◽  
Borislav D. Kitov ◽  
Kristina S. Sirakova ◽  
Ivo I. Kehayov
Keyword(s):  
Cavernous Sinus ◽  
Embolic Agent ◽  
Carotid Cavernous Fistula ◽  
Mortality And Morbidity ◽  
Cavernous Fistula ◽  
History Of ◽  
Diagnosis And Classification ◽  
Left Eyelid ◽  
Direct Carotid Cavernous Fistula

AbstractWe describe the case of an 83-year-old woman with left-sided ophthalmoplegia. She had no family history of connective tissue disease. The computed tomography study found a dilated left cavernous sinus. The conventional cerebral panangiography confirmed the diagnosis - a direct carotid-cavernous fistula (CCF), with no evidence of ruptured aneurysm. The woman underwent endovascular treatment with coiling of the cavernous sinus in combination with application of the Onyx embolic agent in the fistula. During the first 48 hours after the embolization the local pain, exophthalmos and conjunctival injection of the left eye were significantly ameliorated. The pulsatile tinnitus on the left disappeared and the ptosis of the left eyelid partially recovered. Selective angiography is the best method for the diagnosis and classification of CCF. Currently, treatment is possible with low mortality and morbidity rates. The endovascular intervention is able to completely occlude the fistula and maintain adequate blood fl ow through the carotid artery.

Carotid Cavernous Fistula Associated With Persistent Primitive Trigeminal Artery

2001 ◽  
Vol 20 (4) ◽  
pp. 264-265
Author(s):  
Briggs E. Cook ◽  
Jacqueline A. Leavitt ◽  
Joseph W. Dolan ◽  
Douglas A. Nichols
Keyword(s):  
Trigeminal Artery ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Persistent Primitive Trigeminal Artery ◽  
Primitive Trigeminal Artery

scholarly journals Unilateral Direct Carotid Cavernous Fistula Causing Bilateral Ocular Manifestation

2015 ◽  
Vol 6 (3) ◽  
pp. 482-487 ◽  
Author(s):  
Zeferino Demartini Jr. ◽  
Fernando Liebert ◽  
Luana Antunes Maranha Gatto ◽  
Thiago Simiano Jung ◽  
Carlos Rocha Jr. ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Internal Carotid ◽  
Interventional Neuroradiology ◽  
Artery Wall ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Bilateral Presentation ◽  
Carotid Cavernous Sinus Fistula ◽  
Carotid Cavernous Fistulas ◽  
Direct Carotid Cavernous Fistula

Unilateral carotid cavernous fistula presents with ipsilateral ocular findings. Bilateral presentation is only seen in bilateral fistulas, usually associated with indirect (dural) carotid cavernous fistulas. Direct carotid cavernous fistulas are an abnormal communication between the internal carotid artery and the cavernous sinus. They typically begin with a traumatic disruption in the artery wall into the cavernous sinus, presenting with a classic triad of unilateral pulsatile exophthalmos, cranial bruit and episcleral venous engorgement. We report the case of a 38-year-old male with traumatic right carotid cavernous sinus fistula and bilateral ocular presentation successfully treated by interventional neuroradiology.

scholarly journals Posttraumatic Intradural Internal Carotid Artery-Cavernous Sinus Fistula Associated with Ipsilateral Carotid Dissection

2004 ◽  
Vol 10 (1) ◽  
pp. 63-68 ◽  
Author(s):  
I. Oran ◽  
M. Parildar ◽  
A. Memis ◽  
T. Dalbasti
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Unusual Case ◽  
Internal Carotid ◽  
Carotid Dissection ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Detachable Coils ◽  
Carotid Cavernous Sinus Fistula ◽  
Direct Carotid Cavernous Fistula

We describe a relatively unusual case of traumatic direct carotid-cavernous fistula in association with a giant intradural venous pouch and ipsilateral carotid dissection, related to carotid artery fistula located in the supraclinoid segment just below the origin of posterior communicating artery. Endovascular therapy could be accomplished by use of detachable coils transarterially. Awareness of an unusual intradural origin of a carotid-cavernous sinus fistula and the possibility of an embolization should be kept in mind.

scholarly journals Long Term Post Traumatic High Flow Carotid Cavernous Fistula with Patent Collateral Vessel : A Case Report

2020 ◽  
Vol 2 (2) ◽  
Author(s):  
Luthfy Farhan ◽  
Ridha Dharmajaya
Keyword(s):  
Case Report ◽  
Left Hemisphere ◽  
Cavernous Sinus ◽  
Craniocerebral Trauma ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Left Brain ◽  
History Of ◽  
Carotid Cavernous Sinus Fistula ◽  
The Right

Introduction : A carotid-cavernous sinus fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus. Carotid cavernous fistula (CCF) is a very rare case it's difficult to diagnose. because most CCF patients rarely come for treatment. Case Report : A 33-year-old male presented with history of protrusion of Left eye ball, and double vision for the last 2 years. visual disturbances were found in the right eye for 2 years, blurry vision is increasingly. Bruit was audible in orbital region on the left side. DSA showed that there was a fistula in the left sinus cavernous region, the arteries in the left area showed inadequate to direct the left hemisphere, but in the right arety showed that the right artery was adversely affected right and left brain. Discussion : Traumatic CCFs are the most common type, accounting for up to 75% of all CCFs.87 They have been reported to occur in 0.2% of patients with craniocerebral trauma and in up to 4% of patients who sustain a basilar skull fractur.2 The symptoms and signs of CCF always include eyelid swelling, proptosis, chemosis, and hyperaemia, dilated of vessel and the condition is commonly misdiagnosed as Graves’ophthal-mopathy or inflammatory conjunctivitis.3Cerebral angiography is the gold standard for the definitive diagnosis, classification, and planning of endovascular intervention in CCFs. Angiographic results in this patient showed a fistula in the left cavernous sinus and inadequate supply of the left artery to the left hemisphere. Conclusion : This case is very unique because the left brain gets blood supply from the right carotid system, with the left carotid artery system inadequate to direct the left hemisphere because of the carotid cavernous fistula on the left side

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