A case of traumatic anterior cerebral artery-cavernous sinus fistula

Radiology Case Reports

Nguyen Van Tuan, MD¹  Nguyen Tat Thien, MD²  Le Nguyen Quyen, MD, PhD³  Tran Anh Tuan, MD, PhD⁴ 

[1] Radiology Center, Bach Mai Hospital, Ha Noi, Vietnam;Department of Thoracic, Vascular and Neurology, Trung Vuong Hospital, Ho Chi Minh city, Vietnam;Neurology Department, Bach Mai Hospital, Ha Noi, Vietnam;Radiology Department, Hanoi Medical University, Ha Noi, Vietnam;

关键词: Trauma;    Cerebral Artery;    Cavernous Sinus;    Fistula;   

DOI  :  

来源: DOAJ

【 摘 要 】

Direct anterior cerebral artery-cavernous sinus fistula is an extremely rare complication of head trauma. We describe a male patient (age 49 years) with a history of head trauma 15 years ago who was hospitalised for a bulging red eye and tinnitus. Digital subtraction angiography showed a direct anterior cerebral artery (fork junction A1 - prior passage)-cavernous sinus fistula. The patient was treated with arterial endovascular intervention, complete sealing of the fistula orifice using coils. He was discharged 5 days later with no symptoms of a bulging red eye, ringing in the ears, or nerve paralysis. Re-examination after 3 months of stable clinical features did not show recurrent fistula. In conclusion, anterior cerebral artery-cavernous sinus fistula is an extremely rare lesion, and arterial endovascular intervention using coils is a safe and effective method for treatment of such lesion.

【 授权许可】

Unknown