Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full |
| _version_ | 1811210946245296128 |
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| author | Peng Sun Yuan Chai Wei Fang Hu Chen Qianfa Long Zhenwei Zhao Tao Zhang |
| author_facet | Peng Sun Yuan Chai Wei Fang Hu Chen Qianfa Long Zhenwei Zhao Tao Zhang |
| author_sort | Peng Sun |
| collection | DOAJ |
| description | BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. |
| first_indexed | 2024-04-12T05:04:38Z |
| format | Article |
| id | doaj.art-25edcdd835c84a4a961829736d38a617 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-12T05:04:38Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-25edcdd835c84a4a961829736d38a6172022-12-22T03:46:55ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-09-011310.3389/fneur.2022.923186923186Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupturePeng Sun0Yuan Chai1Wei Fang2Hu Chen3Qianfa Long4Zhenwei Zhao5Tao Zhang6Department of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an, ChinaDepartment of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Neurosurgery, Xi'an Central Hospital, Xi'an, ChinaDepartment of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Neurosurgery, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaBackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/fullspontaneous carotid-cavernous fistulapersistent primitive trigeminal arteryaneurysminterventional treatmentcase report |
| spellingShingle | Peng Sun Yuan Chai Wei Fang Hu Chen Qianfa Long Zhenwei Zhao Tao Zhang Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture Frontiers in Neurology spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report |
| title | Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| title_full | Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| title_fullStr | Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| title_full_unstemmed | Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| title_short | Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| title_sort | case report spontaneous carotid cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture |
| topic | spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full |
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