Bilateral persistent trigeminal arteries with unilateral trigeminal artery to cavernous sinus fistula. A case report.
A 59-year-old man who denied a history of trauma presented with left pulsatile tinnitus and left orbital swelling for six months. Digital subtraction angiography showed a left persistent trigeminal artery (PTA) with a trigeminal artery to cavernous sinus (trigeminal-cavernous sinus) fistula and a right PTA. Transarterial detachable coil embolization of the left trigeminal-cavernous sinus fistula was performed, and the symptoms subsided. There has been no report of bilateral PTAs with a spontaneous fistula connected from one PTA to the ipsilateral cavernous sinus. This paper reports such a rare circumstance.
Department of Medical Imaging, Taipei Medical University, Shuang-Ho Hospital; New Taipei City, Taiwan - E-mail: janwenku@gmail.com.
David
D
Chen
Chi-Jen
CJ
Chen
Jiann-Jy
JJ
Chen
Ying-Chi
YC
Tseng
Hui-Ling
HL
Hsu
Jan-Wen
JW
Ku
D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000628:therapy*; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging* / Q000628:therapy*; D002426:Cavernous Sinus / Q000002:abnormalities* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009485:Neuroradiography / Q000379:methods; D015641:Radiography, Interventional / Q000379:methods; D016896:Treatment Outcome