Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Direct Carotid Cavernous Fistula of an Adult-Type Persistent Primitive Trigeminal Artery with Multiple Vascular Variations

  • Jin, Sung-Chul (Cerebrovascular Center, Inje University, Haeundae Paik Hospital) ;
  • Park, Hyun (Department of Neurosurgery, Seoul National University Bundang Hospital) ;
  • Kwon, Do-Hoon (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Choi, Choong-Gon (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
  • Received : 2010.07.09
  • Accepted : 2011.03.27
  • Published : 2011.04.28
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Abstract

We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.

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References

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