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Trigeminal fistula treated by combined transvenous and transarterial embolisation

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Summary

Trigeminal cavernous fistulae are rare, compared to other types of carotid-cavernous fistulae with only about 17 examples previously reported in English literature. The aetiology can be either post-traumatic or spontaneous, and in the latter group either due to a ruptured trigeminal aneurysm or postulated intrinsic weakness of the artery itself. The treatment goal is to close the fistula while preserving the parent artery and this can be done either by surgical or endovascular methods. We present a 35-year-old woman with a spontaneous trigeminal fistula treated by combined trans-venous and trans-arterial embolisation.

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Authors and Affiliations

  1. Department of Radiology, Ramathibodi Hospital, Bangkok, Thailand

    S. Geibprasert, P. Jiarakongmun & S. Pongpech

  2. Department of Neuroradiology, University Hospital Aachen, Aachen, Germany

    T. Krings

  3. Service de Neuroradiologie Diagnostique et Thérapeutique, Hôpital de Bicetre, Le Kremlin-Bicetre, Paris

    T. Krings

Authors
  1. S. Geibprasert
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  2. P. Jiarakongmun
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  3. T. Krings
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  4. S. Pongpech
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Correspondence to S. Geibprasert.

Additional information

Correspondence: S. Geibprasert M.D., Department of Radiology, Ramathibodi Hospital, Mahidol University Pharam 6 Rd, Rachatewi, Bangkok, Thailand.

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Geibprasert, S., Jiarakongmun, P., Krings, T. et al. Trigeminal fistula treated by combined transvenous and transarterial embolisation. Acta Neurochir (Wien) 150, 583–588 (2008). https://doi.org/10.1007/s00701-008-1496-3

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  • DOI: https://doi.org/10.1007/s00701-008-1496-3

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