title: Posttraumatic carotid-cavernous fistula associated with evolving contralateral internal carotid artery pseudoaneurysm.
abstract: Head trauma can result in vascular injuries at the base of skull. We present a unique case of carotid-cavernous fistula (CCF) on one side with evolving contralateral internal carotid artery (ICA) aneurysm resulting from a single trauma. There were different pathomechanisms involved in the development of these lesions. Both these lesions were successfully managed with endovascular coiling. The case cautions us about a potential threat of another delayed lesion forming on contralateral side once an ipsilateral posttraumatic vascular lesion has been treated. The case also highlights the importance of carefully looking for the ICA on both sides during digital subtraction angiography in trauma patients.
authors.affiliation: Department of Neurosurgery, G. B. Pant Hospital, University of Delhi, Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Neurosurgery, G. B. Pant Hospital, University of Delhi, Delhi, India.
authors.forename: Rahul
authors.initials: R
authors.lastname: Gupta
authors.affiliation: Department of Neurosurgery, G. B. Pant Hospital, University of Delhi, Delhi, India.
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
authors.affiliation: Department of Neurosurgery, G. B. Pant Hospital, University of Delhi, Delhi, India.
authors.forename: Hukum
authors.initials: H
authors.lastname: Singh
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D015901:Angiography, Digital Subtraction; D001930:Brain Injuries / Q000150:complications* / Q000473:pathology / Q000601:surgery; D020212:Carotid Artery Injuries / Q000150:complications* / Q000473:pathology / Q000601:surgery; D002343:Carotid Artery, Internal / Q000473:pathology* / Q000601:surgery; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D057510:Endovascular Procedures; D005158:Facial Paralysis / Q000209:etiology; D015600:Glasgow Coma Scale; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020127:Recovery of Function; D012887:Skull Fractures / Q000473:pathology; D013701:Temporal Bone / Q000293:injuries; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome