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Treatment of traumatic trigeminal-cavernous fistula by coil embolization and compression of carotid artery

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Author(s): Yang Xinjian | Mu Shiqing | Srivastava Trilochan | Wu Zhongxue

Journal: Neurology India
ISSN 0028-3886

Volume: 55;
Issue: 4;
Start page: 396;
Date: 2007;
Original page

Keywords: Carotid cavernous sinus fistula | embolization | primitive trigeminal artery | therapeutic | trauma

ABSTRACT
We report a case of a traumatic cavernous fistula supplied by a persistent primitive trigeminal artery. The process of treatment was unique in this case. Fistula was subcompletely occluded by coiling from primitive trigeminal artery. Residual fistula was helped to form thrombosis by compression of the carotid artery with hand in the procedure. Long-term follow-up was satisfactory. Traumatic cavernous fistula supplied by a persistent primitive trigeminal artery could be treated by embolization and temporal compression of the parent artery might be useful for residual minimal fistula.
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