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ID 28879
file
creator
Shibukawa, Masaaki
Tsumura, Ryu
Matsushige, Toshinori
subject
Anterior communicating artery
Cavernous sinus
Endovascular treatment
Fistula
Pseudoaneurysm
NDC
Medical sciences
abstract
A traumatic carotid-cavernous fistula and an intracranial pseudoaneurysm are uncommon but well-known complications of head trauma. A rare subtype of arteriovenous fistula may occur from a pseudoaneurysm of the anterior communicating artery (AcoA) instead of the internal carotid artery. We describe a patient with a traumatic pseudoaneurysm of the AcoA with a cavernous sinus fistula treated with endovascular treatment. A 68-year-old man presented with a severe head injury after a fall. Coronal view multiplanar reformatted images with contrast medium showed gradual expansion of the pseudoaneurysm of the AcoA and the enhanced area of the cavernous sinus. Five weeks after the injury, the patient had a subarachnoid hemorrhage. A cerebral angiogram showed a fistula between the pseudoaneurysm of the AcoA and the cavernous sinus. The AcoA, left anterior cerebral artery and part of the pseudoaneurysm were obliterated by coil embolization. A postoperative angiogram showed no flow through the pseudoaneurysm and the cavernous sinus fistula. A traumatic AcoA pseudoaneurysm with a cavernous sinus fistula may occur as an extremely rare complication of head injury.
journal title
Acta Neurochirurgica
volume
Volume 151
issue
Issue 11
start page
1531
end page
1535
date of issued
2009-04-03
publisher
Springer Wien
issn
0001-6268
ncid
publisher doi
language
eng
nii type
Journal Article
HU type
Journal Articles
DCMI type
text
format
application/pdf
text version
author
rights
Copyright (c) 2009 Springer
relation
The original publication is available at www.springerlink.com
relation url
department
Graduate School of Biomedical Science