Traumatic anterior communicating artery pseudoaneurysm with cavernous sinus fistula
Use this link to cite this item : https://ir.lib.hiroshima-u.ac.jp/00028879
ID | 28879 |
file | |
creator |
Shibukawa, Masaaki
Tsumura, Ryu
Matsushige, Toshinori
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subject | Anterior communicating artery
Cavernous sinus
Endovascular treatment
Fistula
Pseudoaneurysm
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NDC |
Medical sciences
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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.
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journal title |
Acta Neurochirurgica
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volume | Volume 151
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issue | Issue 11
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start page | 1531
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end page | 1535
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date of issued | 2009-04-03
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publisher | Springer Wien
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issn | 0001-6268
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ncid | |
publisher doi | |
language |
eng
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nii type |
Journal Article
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HU type |
Journal Articles
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DCMI type | text
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format | application/pdf
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text version | author
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rights | Copyright (c) 2009 Springer
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relation | The original publication is available at www.springerlink.com
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relation url | |
department |
Graduate School of Biomedical Science
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