• World Neurosurg · Aug 2018

    Case Reports

    Posttraumatic Trigeminal-Cavernous Fistula.

    • Chang Wei Zhang, Ting Wang, Seidu A Richard, Lun Xing Lui, Ding Xu, and Xiao Dong Xie.
    • Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China.
    • World Neurosurg. 2018 Aug 1; 116: 152-154.

    IntroductionPersistent trigeminal artery is the most frequent embryonic communication between the vertebrobasilar and carotid systems. To the best of our knowledge, posttraumatic trigeminal-cavernous fistula is rarely reported in the literature.Case PresentationWe present a 47-year-old man with posttraumatic trigeminal-cavernous fistula, which we treated using Onyx embolization.ConclusionEven though preservation of the parent artery is generally considered a desirable goal in fistula treatment, in special cases such as Salzmann type 2 anatomy plus a unique fistulous orifice accompanied by external carotid-cavernous fistula, it is required to embolize the persistent trigeminal artery and cavernous sinus.Copyright © 2018 Elsevier Inc. All rights reserved.

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