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KMID : 1005420230250030306
Journal of Cerebrovascular and Endovascular Neurosurgery
2023 Volume.25 No. 3 p.306 ~ p.310
Parent artery occlusion of a giant internal carotid artery pseudoaneurysm-related direct carotid cavernous fistula: A case report
Alexander Andreev

Nadia McMillan
Kelli Money
Max Shutran
Christopher Ogilvy
Abstract
Traumatic internal carotid artery injuries can produce direct carotid-cavernous fistulas as well as giant internal carotid artery pseudoaneurysms. Clinical sequelae can include headaches, cranial nerves palsies, proptosis, chemosis and optic neuropathy with visual loss as the most dangerous complication. Herein, we present a case of one of the largest reported internal carotid artery pseudoaneurysms associated with a direct carotid cavernous fistula. We describe the techniques and pitfalls of treatment with parent vessel occlusion.
KEYWORD
Internal carotid artery, Carotid-cavernous sinus fistula, Carotid artery injuries
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