Direct approach to a traumatic giant internal carotid artery aneurysm associated with a carotid-cavernous fistula. Case report.
The case is reported of a giant intracranial internal carotid artery aneurysm associated with a carotid-cavernous fistula following a closed head injury. The aneurysm and the fistula disappeared after only the neck of the aneurysm was clipped. This is the first case in which a direct surgical approach was successful in sparing the internal carotid flow. Reports of similar cases are reviewed.
Masana
Y
Y
Department of Neurosurgery, Hanwa Memorial Hospital, Osaka, Japan.
Taneda
M
M
D000328:Adult; D001164:Arteriovenous Fistula / Q000209:etiology / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000209:etiology / Q000601:surgery*; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000601:surgery; D002426:Cavernous Sinus / Q000293:injuries / Q000601:surgery*; D016489:Head Injuries, Closed / Q000150:complications; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000209:etiology / Q000601:surgery*; D008297:Male