Fistula of the posterior communicating artery and cavernous sinus.
A 24-year-old man was admitted with conjunctival hyperemia of the left eye and progressive chemosis and proptosis 1 month after a head injury. An angiogram showed an arterial-cavernous sinus fistula of the posterior communicating artery, which was treated with minicoils. The atypical configuration, transvenous embolization, and unusual nature of the communication suggested that communication developed through a newly generated vessel in granulation tissue.
Kinugasa
K
K
Department of Neurological Surgery, Okayama University Medical School, Japan.
Higashi
H
H
Ohmoto
T
T
D000328:Adult; D001164:Arteriovenous Fistula / Q000175:diagnosis* / Q000628:therapy; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000473:pathology; D002426:Cavernous Sinus / Q000293:injuries* / Q000473:pathology; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D016489:Head Injuries, Closed / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male