title: Traumatic carotid-rosenthal fistula treated with Jostent Graftmaster.
abstract: Traumatic injuries of the carotid artery may result in severe morbidity and mortality. The most common location of carotid artery injury is the cavernous segment, which may result in fistulous connection to the cavernous sinus and ophthalmic veins, which in turn lead to pressure symptoms in the ipsilateral orbit. Unlike the commonly reported direct traumatic carotid-cavernous fistula, we describe an unusual case of a 38-year-old man presented with a traumatic brain injury led to a fistula connection between the cavernous carotid artery and the ipsilateral basal vein of Rosenthal, with eventual drainage to the straight and transverse sinuses. The basal vein of Rosenthal is usually formed from confluence of anterior and middle cerebral veins deep in the Sylvian fissure and drain the insular cortex and the cerebral peduncles to the vein of Galen. Immediate endovascular deployment of a covered stent in the cavernous carotid artery allowed sealing the laceration site. Three months follow up showed a non-focal neurological examination and healed carotid laceration over the covered stent.
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: Hesham
authors.initials: H
authors.lastname: Allam
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: R Charles
authors.initials: RC
authors.lastname: Callison
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: Daniel
authors.initials: D
authors.lastname: Scodary
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: Aws
authors.initials: A
authors.lastname: Alawi
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: Daniel W
authors.initials: DW
authors.lastname: Hogan
authors.affiliation: Hesham Allam, Aws Alawi, Amer Alshekhlee, Department of Neurology, St. Louis University, St. Louis, MO 63104, Unites States.
authors.forename: Amer
authors.initials: A
authors.lastname: Alshekhlee
keywords: Carotid artery; Fracture; Jostent; Skull base; Trauma