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Direct caroticocavernous fistula and traumatic dissection of the ipsilateral internal carotid artery: endovascular treatment

  • INTERVENTIONAL NEURORADIOLOGY
  • Published:
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Abstract

After severe craniocerebral trauma a 14-year-old boy developed progressive exophthalmos with venous congestion and chemosis, due to a direct caroticocavernous fistula. Angiography revealed traumatic occlusion of the ipsilateral internal carotid artery and absence of the inferior petrosal sinus. After failure of an approach via the anterior and posterior communicating arteries, the cavernous sinus was successfully catheterised through the occluded internal carotid artery, and embolisation performed with coils.

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Authors and Affiliations

  1. Department of Radiology, University Hospitals Leuven, Herestraat 49, 3000 Leuven, Belgium Tel.: + 32-16-34 37 81, Fax: + 32-16-34 37 65, , , , , , BE

    G. Wilms & P. Demaerel

  2. Department of Neuropaediatrics, University Hospitals Leuven, Belgium, , , , , , BE

    L. Lagae

  3. Department of Ophthalmology, University Hospital, Leuven, Belgium, , , , , , BE

    I. Casteels & I. Mombaerts

Authors
  1. G. Wilms
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  2. P. Demaerel
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  3. L. Lagae
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  4. I. Casteels
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  5. I. Mombaerts
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Additional information

Received: 21 July 1998/Accepted: 5 April 1999

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Wilms, G., Demaerel, P., Lagae, L. et al. Direct caroticocavernous fistula and traumatic dissection of the ipsilateral internal carotid artery: endovascular treatment. Neuroradiology 42, 62–65 (2000). https://doi.org/10.1007/s002340050016

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  • DOI: https://doi.org/10.1007/s002340050016

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