Direct approach to a traumatic giant internal carotid artery aneurysm associated with a carotid-cavernous fistula

1992 ◽  
Vol 76 (3) ◽  
pp. 524-527 ◽  
Author(s):  
Yoshiyuki Masana ◽  
Mamoru Taneda
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Closed Head Injury ◽  
Artery Aneurysm ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Carotid Artery Aneurysm ◽  
First Case ◽  
Internal Carotid Artery Aneurysm

✓ The case is reported of a giant intracranial internal carotid artery aneurysm associated with a carotid-cavernous fistula following a closed head injury. The aneurysm and the fistula disappeared after only the neck of the aneurysm was clipped. This is the first case in which a direct surgical approach was successful in sparing the internal carotid flow. Reports of similar cases are reviewed.

scholarly journals Raeder's syndrome after embolization of a giant intracavernous carotid artery aneurysm: pathophysiological considerations

2005 ◽  
Vol 63 (3a) ◽  
pp. 676-680 ◽  
Author(s):  
Claudio Esteves Tatsui ◽  
Daniel Monte-Serrat Prevedello ◽  
Andrei Koerbel ◽  
Joacir Graciolli Cordeiro ◽  
Leo Fernando da Silva Ditzel ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Technical Problems ◽  
Carotid Artery Aneurysm ◽  
Carotid Canal ◽  
First Case ◽  
Internal Carotid Artery Aneurysm ◽  
Intracavernous Carotid Artery

We present the case of a 47 years old woman submitted to an endovascular trapping of a left cavernous internal carotid artery aneurysm, in which the distal balloon was inflated, as usually done, within the cavernous segment of the internal carotid artery, different from the proximal one which was inflated inside the carotid canal due to technical problems. Consequently, a clinical picture of Raeder's paratrigeminal neuralgia took place. This is the first case report in the literature with theses characteristics. A review of the anatomic pathways and further considerations about the possible pathophysiological mechanisms involved are presented.

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