Carotid-Cavernous Fistula Caused by Rupture of Persistent Primitive Trigeminal Artery Trunk Aneurysm-Case Report-

• YOSHIDA Masahiro

  Department of Neurosurgery, Osaki Citizen Hospital

• EZURA Masayuki

  Department of Neurosurgery, Sendai Medical Center

• MINO Masaki

  Department of Neurosurgery, Osaki Citizen Hospital

書誌事項

タイトル別名

• —Case Report—

抄録

A 60-year-old female presented with a carotid-cavernous fistula (CCF) manifesting as left abducens nerve palsy. Left internal carotid digital subtraction angiography showed a persistent primitive trigeminal artery (PPTA) near the CCF. Super-selective angiography showed direct shunt flow between the PPTA trunk aneurysm and the left cavernous sinus. The aneurysm was successfully occluded with detachable coils. The CCF disappeared and the PPTA was preserved. The abducens nerve paralysis had disappeared 6 months later. CCF caused by a PPTA trunk aneurysm is extremely rare. We speculate that the PPTA trunk aneurysm formed and then ruptured due to hemodynamic stress caused by hypoplasia of the basilar artery.<br>

収録刊行物

• Neurologia medico-chirurgica

  Neurologia medico-chirurgica 51 (7), 507-511, 2011

  一般社団法人 日本脳神経外科学会

キーワード

• carotid-cavernous fistula
• persistent primitive trigeminal artery
• coil embolization

詳細情報

• CRID: 1390001205056992256
• NII論文ID: 10029138525
• NII書誌ID: AN00358613
• DOI: 10.2176/nmc.51.507
• COI: 1:STN:280:DC%2BC3MjgslGmtw%3D%3D
• ISSN: 13498029
• ISSN: 04708105
• PubMed: 21785245
• Web Site: http://www.jstage.jst.go.jp/article/nmc/51/7/51_7_507/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2012074318
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可