Traumatic carotid cavernous fistula with bilateral carotid artery and vertebral artery dissections.
Carotid and vertebral artery dissections from blunt cervical trauma are uncommon injuries that in recent years are becoming increasingly recognized as a result of angiographic screening protocols in trauma patients. Traumatic carotid cavernous fistulas are even less common events, but represent the most common intracranial vascular anomaly after head injury. The present report details the unique case of a woman with no history of collagen vascular disease who developed dissections of both carotid and both vertebral arteries, as well as a direct carotid cavernous fistula, after a motor vehicle collision. Her vascular injuries resolved without need for surgical or endovascular intervention.
Yong
R L
RL
Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, Canada. Raymund.Yong@vch.ca
Heran
N S
NS
D000063:Accidents, Traffic; D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D002545:Brain Ischemia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D020212:Carotid Artery Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D002343:Carotid Artery, Internal / Q000473:pathology* / Q000503:physiopathology; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology; D002533:Cerebral Angiography; D003128:Coma / Q000175:diagnosis / Q000209:etiology; D018450:Disease Progression; D005260:Female; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000473:pathology* / Q000503:physiopathology; D020217:Vertebral Artery Dissection / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*
D000925:Anticoagulants