Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Parent artery occlusion of a giant internal carotid artery pseudoaneurysm-related direct carotid cavernous fistula: A case report

  • Alexander Andreev (Department of Neurology, Beth Israel Deaconess Medical Center) ;
  • Nadia McMillan (Department of Neurology, Beth Israel Deaconess Medical Center) ;
  • Kelli Money (Department of Neurology, Beth Israel Deaconess Medical Center) ;
  • Max Shutran (Division of Neurosurgery, Beth Israel Deaconess Medical Center) ;
  • Christopher Ogilvy (Division of Neurosurgery, Beth Israel Deaconess Medical Center)
  • Received : 2022.03.30
  • Accepted : 2022.10.06
  • Published : 2023.09.30
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Abstract

Traumatic internal carotid artery injuries can produce direct carotid-cavernous fistulas as well as giant internal carotid artery pseudoaneurysms. Clinical sequelae can include headaches, cranial nerves palsies, proptosis, chemosis and optic neuropathy with visual loss as the most dangerous complication. Herein, we present a case of one of the largest reported internal carotid artery pseudoaneurysms associated with a direct carotid cavernous fistula. We describe the techniques and pitfalls of treatment with parent vessel occlusion.

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References

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