Spontaneous carotid - cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery

Obrador, S; Gomez-Bueno, J.; Silvela, J.

doi:10.3171/jns.1974.40.4.0539

Cited by 24 publications

(4 citation statements)

References 7 publications

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“…Unusual cases, such as traumatic aneurysm of the supraclinoid ICA in association with CCF 8, trigeminal cavernous fistulae 8 , CCF produced by ruptured aneurysm of the meningohypophyseal branch and post-traumatic fistula of the PCoA aneurysm-cavernous sinus and the PCoA-cavernous sinus have been reported [1][2][3]9 .…”

Section: Discussionmentioning

confidence: 99%

Successful Transarterial Guglielmi Detachable Coil Embolization of Post-Traumatic Fistula between a Posterior Communicating Artery Aneurysm and the Cavernous Sinus

Chen

Dy²,

Hq³

et al. 2009

Interv Neuroradiol

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We describe a case of a post-traumatic posterior communicating artery (PCoA) aneurysmcavernous sinus fistula, which is an extremely rare complication of craniocerebral trauma, successfully treated with endosaccular coil embolization via transarterial route. Endosaccular embolization with Guglielmi detachable coils via transarterial route appears to be a feasible, effective and minimally invasive option for the treatment of post-traumatic fistula between the PCoA aneurysm with a small ostia and the cavernous sinus in the subacute phase.

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Section: Discussionmentioning

confidence: 99%

Successful Transarterial Guglielmi Detachable Coil Embolization of Post-Traumatic Fistula between a Posterior Communicating Artery Aneurysm and the Cavernous Sinus

Chen

Dy²,

Hq³

et al. 2009

Interv Neuroradiol

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“…Barrow established that traumatic CCSFs are usually type A direct fistulas, either formed by a tear in the cavernous portion of the ICA resulting in a high-pressure high-flow shunt, or formed in consequence of the spontaneous rupture of an intracavernous aneurysm into the CS [9,25,36]. All the other three types are indirect low-flow shunts.…”

Section: Discussionmentioning

confidence: 99%

“…The spontaneous rupture of an intracavernous ICA aneurysm into the CS can also produce a CCSF [9,25,36].…”

Section: Discussionmentioning

confidence: 99%

Conservative treatment of a traumatic direct low-flow carotid-cavernous sinus fistula: A case report

et al. 1997

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“…86 Management then is dependent on location and symptomatic presentation. Obrador et al 87 citing observations made by Jeanamart note that aneurysms of the internal carotid artery within the cavernous sinus represent approximately 3-11% of the total number of intracranial aneurysms. These authors go on to state that many larger aneurysms within the cavernous sinus structure, because of their obliterative nature, often times act as expanding extradural or paraclinoid masses.…”

Section: Traumamentioning

confidence: 99%

The cavernous sinus: An anatomic study with clinical implication

Pensak

2024

Laryngoscope Investig Oto

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ObjectiveThe management of lesions involving the cavernous sinus remains a formidable challenge. To optimize care for patients with tumors extending into this skull base region a detailed understanding of the surrounding osteology as well as neural and vascular relationships is requisite. This thesis examines the gross anatomy of the region and highlights important surgical implications drawn from these as well as previously published studies.MethodsA review of the historical scientific, anatomic, clinical, and surgical literature extending to the present (1992) relating to the cavernous sinus has been performed and discussed. Additionally, the author has performed and described cadaveric dissections revealing novel details about the macroscopic (dural and neurovascular anatomic relationships) and microscopic structure of the cavernous sinus. A series of cases of cavernous sinus pathologies that were addressed in an interdisciplinary surgical approach at the author's institution is also reported.ResultsIncluded in this report is a comprehensive review of the embryology of the cavernous sinus and its associated neurovascular structures. Cadaveric dissections have also revealed novel details about dural/meningeal compartments of the cavernous sinus as well as well as associated arterial, venous, and neural relationships. Microscopic observations also reveal novel fundamental insights into the components and structure of the cavernous sinus. Clinical examples from 20 patients illustrate the critical importance for clinical application of cavernous sinus anatomic knowledge to the surgical treatment of pathologies in this region.ConclusionThe cavernous sinus is a tripartite venous osteomeningeal compartment intimately neighboring vital structures including the optic tracts, pituitary gland, cranial nerves III, IV, V, V, VI, and the internal carotid artery. Surgical management of cavernous sinus lesions has and continues to evolve with increasing anatomic and clinical study as well as advancements in diagnostic and surgical methodologies.Level of EvidenceNA.

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Spontaneous carotid - cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery

Cited by 24 publications

References 7 publications

Successful Transarterial Guglielmi Detachable Coil Embolization of Post-Traumatic Fistula between a Posterior Communicating Artery Aneurysm and the Cavernous Sinus

Successful Transarterial Guglielmi Detachable Coil Embolization of Post-Traumatic Fistula between a Posterior Communicating Artery Aneurysm and the Cavernous Sinus

Conservative treatment of a traumatic direct low-flow carotid-cavernous sinus fistula: A case report

The cavernous sinus: An anatomic study with clinical implication

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