Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
| Autor: | Yunyan Wang, Jie Shen, Meng Zhang, Bin Du, Qinglin Liu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
carotid-cavernous fistulas medicine.diagnostic_test business.industry Posterior clinoid processes Fistula Case Report cavernous sinus Digital subtraction angiography medicine.disease Surgery Pseudoaneurysm Skull medicine.anatomical_structure PComA medicine.artery Cavernous sinus medicine CCF Radiology Posterior communicating artery cardiovascular diseases Internal carotid artery business posterior communicating artery |
| Zdroj: | Neuropsychiatric Disease and Treatment |
| ISSN: | 1178-2021 1176-6328 |
| Popis: | Carotid-cavernous fistulas (CCFs) are an abnormal vascular shunt between the carotid artery and the cavernous sinus, and were traditionally classified into four subtypes based on the detailed fistulas anatomy and arterial supply. CCFs are frequently encountered in patients with traumatic skull base fractures. In this report, we present one such case caused by two head traumas. Computed tomography and digital subtraction angiography confirmed that this CCF arose from posterior communicating artery of the internal carotid artery, which is not included in the traditional Barrow et al’s categorization. The possible mechanisms include laceration of dural mater of posterior clinoid process and laceration or pseudoaneurysm formation of posterior communicating artery. This case was successfully treated with endovascular coil embolization. |
| Databáze: | OpenAIRE |
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