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 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.

Carotid-Cavernous Sinus Fistula Associated with a Primitive Trigeminal Artery

Neurosurgery ◽  
1990 ◽  
Vol 27 (5) ◽  
pp. 802-805 ◽  
Author(s):  
Wan-Chun Cheng ◽  
Alexander Dah-Jium Wang
Keyword(s):  
Cavernous Sinus ◽  
Trigeminal Artery ◽  
Persistent Primitive Trigeminal Artery ◽  
Carotid Cavernous Sinus Fistula ◽  
Primitive Trigeminal Artery

Abstract Carotid-cavernous sinus fistulas are not rare, but they have never been reported in association with persistent primitive trigeminal artery. We recently encountered such a case. The Jaeger-Hamby procedure was employed, with mandatory occlusion of the primitive trigeminal artery.

Carotid-cavernous sinus fistula caused by rupture of a primitive trigeminal artery aneurysm

1977 ◽  
Vol 46 (3) ◽  
pp. 373-376 ◽  
Author(s):  
Takao Enomoto ◽  
Akira Sato ◽  
Yutaka Maki
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Trigeminal Artery ◽  
Content Type ◽  
Persistent Primitive Trigeminal Artery ◽  
Carotid Cavernous Sinus Fistula ◽  
Primitive Trigeminal Artery ◽  
The Right

✓ A case is reported in which an aneurysm arising at the junction of the right internal carotid artery and a persistent primitive trigeminal artery ruptured to form a carotid-cavernous fistula. The internal carotid artery was ligated without any signs of brainstem ischemia due to inverted blood flow through the primitive trigeminal artery.

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