Bilateral traumatic caroticocavernous fistulae: total resolution following unilateral occlusion.
Balloon occlusion is the accepted treatment for direct posttraumatic caroticocavernous fistula. We present a case of bilateral traumatic fistulae associated with a pseudoaneurysm. Resolution of both fistulae occurred following treatment of one of them by balloon occlusion of the internal carotid artery. This case highlights the importance of considering a more conservative approach to bilateral fistulae or those associated with a pseudoaneurysm. We review other treatment options.
Neuroradiology Department, Royal Victoria Hospital, Belfast, UK.
H A
HA
Kamel
K A
KA
Choudhari
J S
JS
Gillespie
D000328:Adult; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy; D021721:Balloon Occlusion; D020212:Carotid Artery Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D002533:Cerebral Angiography; D005260:Female; D005500:Follow-Up Studies; D016489:Head Injuries, Closed / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans