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KMID : 1001920110490040226
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Journal of Korean Neurosurgical Society
2011 Volume.49 No. 4 p.226 ~ p.228
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Direct Carotid Cavernous Fistula of an Adult-Type Persistent Primitive Trigeminal Artery with Multiple Vascular Variations
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Jin Sung-Chul
Park Hyun
Kwon Do-Hoon
Choi Choong-Gon
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Abstract
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We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.
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KEYWORD
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Persistent primitive trigeminal artery, Carotid cavernous fistula, Duplicated posterior cerebral artery
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