Trigeminal artery to cavernous sinus fistula treated by balloon occlusion

1983 ◽  
Vol 58 (4) ◽  
pp. 611-613 ◽  
Author(s):  
Charles W. Kerber ◽  
William Manke
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Femoral Artery ◽  
Balloon Occlusion ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Flow Through ◽  
Sinus Flow ◽  
Fine Print

✓ A spontaneous cavernous sinus fistula developed following presumed sinusitis, and was found to originate not from the carotid artery but from a persistent trigeminal artery. The fistula was treated by introducing a detachable latex balloon via a femoral artery approach through the trigeminal artery and then into the cavernous sinus. Flow through the carotid, vertebral, and trigeminal arteries was preserved.

Venous rupture during transvenous approach to a carotid-cavernous fistula

1989 ◽  
Vol 71 (1) ◽  
pp. 133-137 ◽  
Author(s):  
Wesley A. King ◽  
Grant B. Hieshima ◽  
Neil A. Martin
Keyword(s):  
Carotid Artery ◽  
Cavernous Sinus ◽  
Balloon Occlusion ◽  
Alternative Methods ◽  
Ocular Motility ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
A Minor ◽  
Transvenous Approach

✓ An attempt at transfemoral transarterial balloon occlusion of a high-flow spontaneous carotid-cavernous fistula was unsuccessful because the carotid artery rent was too small for this approach. During a subsequent transvenous approach to the cavernous sinus through the jugular vein, the inferior petrosal sinus was perforated. A minor subarachnoid hemorrhage occurred before the tear could be sealed by the deposition of three Gianturco coils in the vein. The patient was taken to the operating room for emergency obliteration of the fistula and petrosal sinus in order to remove the risk of further hemorrhage. Under the guidance of intraoperative digital subtraction angiography, isobutyl-2-cyanoacrylate was injected directly into the surgically exposed cavernous sinus. Successful obliteration of the fistula was achieved with preservation of the carotid artery, and the angiography catheter was removed safely from the petrosal sinus. Although initially after surgery the patient had nearly complete ophthalmoplegia, at her 1-year follow-up examination she had normal ocular motility and visual acuity. The transvenous approach to the cavernous sinus and alternative methods of treatment of carotid-cavernous fistulas are discussed.

Intraluminal occlusion of a carotid-cavernous sinus fistula with a balloon catheter

1971 ◽  
Vol 35 (2) ◽  
pp. 237-242 ◽  
Author(s):  
Donald J. Prolo ◽  
John W. Hanbery
Keyword(s):  
Clinical Trial ◽  
Carotid Artery ◽  
Cavernous Sinus ◽  
Contrast Material ◽  
Balloon Catheter ◽  
Content Type ◽  
Carotid Cavernous Sinus Fistula ◽  
Cavernous Carotid Artery ◽  
Fine Print

✓ A technique for intraluminal occlusion of a carotid-cavernous sinus fistula with a balloon catheter is described. Passage of a balloon catheter into the cavernous carotid artery from the cervical carotid usually is easily accomplished. Inflation of the balloon with contrast material allows it to be visualized as the fistula is occluded. The simplicity and effectiveness of this method offer advantages over preexisting ones. Appraisal of its usefulness awaits further clinical trial.

Intrasellar persistent trigeminal artery associated with a pituitary adenoma

1989 ◽  
Vol 70 (2) ◽  
pp. 271-273 ◽  
Author(s):  
K. Stuart Lee ◽  
David L. Kelly
Keyword(s):  
Pituitary Adenoma ◽  
Sella Turcica ◽  
Preoperative Imaging ◽  
Persistent Trigeminal Artery ◽  
Pituitary Macroadenoma ◽  
Trigeminal Artery ◽  
Imaging Studies ◽  
Content Type ◽  
Fine Print ◽  
Transsphenoidal Resection

✓ The case of a patient with Cushing's disease and a pituitary macroadenoma, who also had a persistent trigeminal artery coursing through the sella turcica on preoperative imaging studies, is presented. The patient was treated by transsphenoidal resection of the tumor.

Persistent trigeminal artery: its relationship to the normal branches of the cavernous carotid

1974 ◽  
Vol 40 (2) ◽  
pp. 244-248 ◽  
Author(s):  
Dwight Parkinson ◽  
Christopher B. Shields
Keyword(s):  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Autopsy Specimen ◽  
Meningohypophyseal Trunk ◽  
Fine Print

✓ The authors report a detailed study of an autopsy specimen indicating that the meningohypophyseal trunk and a persistent trigeminal artery apparently exist independently and have separate origins.

Trigeminal artery and microemboli to the brain stem

1977 ◽  
Vol 46 (1) ◽  
pp. 104-106 ◽  
Author(s):  
Frederick T. Waller ◽  
Robert L. Simons ◽  
Charles Kerber ◽  
Ilmar O. Kiesel ◽  
Calvin T. Tanabe
Keyword(s):  
Brain Stem ◽  
Atherosclerotic Plaque ◽  
Carotid Bifurcation ◽  
Persistent Trigeminal Artery ◽  
Transient Ischemic Attacks ◽  
Trigeminal Artery ◽  
Content Type ◽  
The Brain ◽  
Fine Print

✓ The authors report two cases of transient ischemic attacks (TIA's) involving the brain stem. The TIA's were due to microemboli that originated from a carotid bifurcation atherosclerotic plaque and travelled through a persistent trigeminal artery.

Proatlantal intersegmental artery and trigeminal artery associated with an aneurysm

1983 ◽  
Vol 59 (3) ◽  
pp. 520-523 ◽  
Author(s):  
Yuichiro Tanaka ◽  
Hideaki Hara ◽  
Genki Momose ◽  
Shigeru Kobayashi ◽  
Shigeaki Kobayashi ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Incidental Findings ◽  
Internal Carotid ◽  
Trigeminal Artery ◽  
Content Type ◽  
Primitive Trigeminal Artery ◽  
Fine Print

✓ A case of coexisting proatlantal intersegmental artery and primitive trigeminal artery is described. These anomalies were incidental findings in a patient with hemiparesis due to occlusion of the middle cerebral artery. The primitive trigeminal artery had an asymptomatic aneurysm at its origin from the internal carotid artery.

Intracranial mycotic aneurysms of extravascular origin

1972 ◽  
Vol 36 (5) ◽  
pp. 552-559 ◽  
Author(s):  
Charas Suwanwela ◽  
Nitaya Suwanwela ◽  
Srisakul Charuchinda ◽  
Chaturaporn Hongsaprabhas
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Cerebral Arteries ◽  
Content Type ◽  
Mycotic Aneurysms ◽  
Fine Print

✓ Six patients with intracranial mycotic aneurysms of extravascular origin are reported. Four had aneurysms of the intracavernous portion of the internal carotid artery associated with thrombophlebitis of the cavernous sinus, and two had aneurysms of the cerebral arteries associated with meningitis. An aneurysm of this type may rupture, producing subarachnoid hemorrhage, or it may become thrombosed and decrease in size or spontaneously disappear. In some patients it may persist and develop calcification in the wall.

Treatment of bilateral spontaneous dural carotid-cavernous fistulas by coils and sclerotherapy

1987 ◽  
Vol 66 (3) ◽  
pp. 468-470 ◽  
Author(s):  
Patrick Courtheoux ◽  
Daniel Labbe ◽  
Christian Hamel ◽  
Pierre-Joel Lecoq ◽  
Marcio Jahara ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cavernous Sinus ◽  
Internal Carotid ◽  
Superior Ophthalmic Vein ◽  
Content Type ◽  
Steel Coils ◽  
Carotid Cavernous Fistulas ◽  
Fine Print

✓ A case of bilateral spontaneous carotid-cavernous fistulas producing increased intraocular pressure is reported. The fistulas lay between the meningeal branches of the internal carotid artery (ICA) and the cavernous sinus, but the ICA itself was not involved. Successful treatment was accomplished by the introduction of steel coils and a sclerotic liquid into the cavernous sinus via the distal superior ophthalmic vein.

Bilateral cortical blindness associated with carotid stenosis in a patient with a persistent trigeminal artery

1980 ◽  
Vol 52 (5) ◽  
pp. 709-711 ◽  
Author(s):  
David J. Heeney ◽  
Andrew H. Koo
Keyword(s):  
Visual Cortex ◽  
Carotid Plaque ◽  
Internal Carotid ◽  
Cortical Blindness ◽  
Persistent Trigeminal Artery ◽  
Trigeminal Artery ◽  
Content Type ◽  
Anomalous Artery ◽  
Angiographic Findings ◽  
Fine Print

✓ A patient with findings of bilateral cortical blindness and a unilateral carotid bruit is reported. A persistent trigeminal artery allowed emboli from a unilateral ulcerated internal carotid plaque to affect the visual cortex bilaterally. The angiographic findings and a brief discussion of this anomalous artery are presented.

Direct surgical obliteration of a persistent trigeminal artery aneurysm

1974 ◽  
Vol 40 (2) ◽  
pp. 249-251 ◽  
Author(s):  
Glenn Morrison ◽  
William M. Hegarty ◽  
Charles C. Brausch ◽  
Theodore J. Castele ◽  
Rorert J. White
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Operative Treatment ◽  
Artery Aneurysm ◽  
Persistent Trigeminal Artery ◽  
Fusiform Aneurysm ◽  
Trigeminal Artery ◽  
Content Type ◽  
Fine Print

✓ A woman with a fusiform aneurysm of a persistent trigeminal artery sustained a subarachnoid hemorrhage and presented with hypalgesia in the distribution of the maxillary and mandibular nerves. The first successful direct operative treatment of this rare aneurysm is reported.

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