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Case Reports
Traumatic carotid-cavernous sinus fistula associated with an intradural pseudoaneurysm: a case report.
- M Komiyama, T Yasui, H Yagura, Y Fu, and Y Nagata.
- Department of Neurosurgery, Baba Memorial Hospital, Osaka, Japan.
- Surg Neurol. 1991 Aug 1; 36 (2): 126-32.
AbstractA case of traumatic carotid-cavernous sinus fistula (CCF) associated with an intradural pseudoaneurysm is reported. A 42-year-old man developed traumatic CCF after severe head trauma. Cerebral angiography demonstrated a direct CCF associated with an intradural pseudoaneurysm at the C2 portion. Transarterial balloon embolization of the CCF caused severe subarachnoid hemorrhage. A CCF with an intradural pseudoaneurysm is life-threatening and requires emergency treatment. However, balloon occlusion in such cases is contraindicated because of possible rupture of a pseudoaneurysm. Trapping or a direct surgical approach is the treatment of choice.
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