title: Traumatic carotid-cavernous sinus fistula associated with an intradural pseudoaneurysm: a case report.
abstract: A case of traumatic carotid-cavernous sinus fistula (CCF) associated with an intradural pseudoaneurysm is reported. A 42-year-old man developed traumatic CCF after severe head trauma. Cerebral angiography demonstrated a direct CCF associated with an intradural pseudoaneurysm at the C2 portion. Transarterial balloon embolization of the CCF caused severe subarachnoid hemorrhage. A CCF with an intradural pseudoaneurysm is life-threatening and requires emergency treatment. However, balloon occlusion in such cases is contraindicated because of possible rupture of a pseudoaneurysm. Trapping or a direct surgical approach is the treatment of choice.
authors.affiliation: Department of Neurosurgery, Baba Memorial Hospital, Osaka, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Komiyama
authors.forename: T
authors.initials: T
authors.lastname: Yasui
authors.forename: H
authors.initials: H
authors.lastname: Yagura
authors.forename: Y
authors.initials: Y
authors.lastname: Fu
authors.forename: Y
authors.initials: Y
authors.lastname: Nagata
mesh_terms: D000328:Adult; D001164:Arteriovenous Fistula / Q000150:complications / Q000209:etiology* / Q000601:surgery; D020212:Carotid Artery Injuries; D002426:Cavernous Sinus / Q000293:injuries*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000209:etiology* / Q000601:surgery; D008297:Male; D013345:Subarachnoid Hemorrhage / Q000209:etiology