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http://dx.doi.org/10.3340/jkns.2011.49.4.226

Direct Carotid Cavernous Fistula of an Adult-Type Persistent Primitive Trigeminal Artery with Multiple Vascular Variations  

Jin, Sung-Chul (Cerebrovascular Center, Inje University, Haeundae Paik Hospital)
Park, Hyun (Department of Neurosurgery, Seoul National University Bundang Hospital)
Kwon, Do-Hoon (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center)
Choi, Choong-Gon (Department of Radiology, University of Ulsan College of Medicine, Asan Medical Center)
Publication Information
Journal of Korean Neurosurgical Society / v.49, no.4, 2011 , pp. 226-228 More about this Journal
Abstract
We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.
Keywords
Persistent primitive trigeminal artery; Carotid cavernous fistula; Duplicated posterior cerebral artery;
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