Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm. Issue 6 (1st December 2001)

• Record Type: Journal Article
• Authors: Wanke, I; Doerfler, A; Stolke, D; Forsting, M
• Is Part Of: Journal of neurology, neurosurgery and psychiatry. Volume 71:Issue 6(2001)
• Page Start: 784
• Page End: 787
• Publication Date: 2001-12-01
• Subjects: CCF -- endovascular embolisation -- intracavernous aneurysm -- ophthalmoplegia; Neurology -- Periodicals; Nervous system -- Surgery -- Periodicals; Psychiatry -- Periodicals; 616.8
• DOI: 10.1136/jnnp.71.6.784
• Languages: English
• ISSNs: 0022-3050

Abstract

Abstract : Intracavernous carotid artery aneurysms causing a carotid-cavernous fistula (CCF) are rare. These aneurysms usually cause neurological symptoms due to gradual expansion without rupture. If they do rupture they most often lead to a CCF instead of bleeding into the subarachnoid space. A ptient is described with a ruptured intracavernous aneurysm causing a CCF resulting in acute onset of unilateral ophthalmoplegia. Selective coil embolisation of the aneurysm led to complete occlusion of the CCF with preservation of the internal carotid artery; symptoms resolved completely.