Carotid-cavernous Fistula Associated with a Ruptured Persistent Primitive Trigeminal Artery Aneurysm: A Case Report and Review of Literature

DOI Web Site 参考文献16件 オープンアクセス
  • SHIOMI Koji
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • YAMAO Yukihiro
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • ISHII Akira
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • KIKUCHI Takayuki
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • OKAWA Masakazu
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • YAMADA Kiyofumi
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • YOSHIDA Kazumichi
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan
  • MIYAMOTO Susumu
    Department of Neurosurgery, Kyoto University Graduate School of Medicine, Kyoto, Kyoto, Japan

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抄録

<p>Carotid-cavernous sinus fistula (CCF) caused by a ruptured aneurysm of the persistent primitive trigeminal artery (PPTA) is rarely reported. A 69-year-old woman presented with progressive ptosis and pulsating tinnitus. Vertebral angiography under flow control of the internal carotid artery revealed CCF associated with a ruptured PPTA-trunk aneurysm, and PPTA was divided into Saltzman type 2. Endovascular treatment was performed by coil embolization of the aneurysm and parent artery occlusion of the PPTA, preserving the basilar artery (BA) side of PPTA, without complications. In the case of ruptured aneurysms originating from the Saltzman type 2 PPTA trunk, parent artery occlusion of the PPTA might be a treatment option and preservation of the BA side of PPTA is necessary to avoid ischemic complication of pons.</p>

収録刊行物

  • NMC Case Report Journal

    NMC Case Report Journal 8 (1), 691-696, 2021

    一般社団法人 日本脳神経外科学会

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