neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-24-1-79-82neurosurgery-1174Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEРедкое клиническое наблюдение: множественные псевдоаневризмы внутренней сонной артерии и ипсилатеральная каротидно-кавернозная фистула, развившиеся в результате травмы головыA rare case report of trauma manifesting as multiple pseudoaneurysms of internal carotid artery and ipsilateral carotid cavernous fistulahttps://orcid.org/0000-0001-8604-2444BishnoiI.BishnoiI.

Agroha 125047, Haryana, India

Agroha 125047, Haryana, India

JagetiaA.JagetiaA.

Anita Jagetia

Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

Anita Jagetia

1 Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

anitajagetia@gmail.comKumarP.KumarP.

Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

1 Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

SachdevaD.SachdevaD.

Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

1 Jawaharlal Nehru Marg, 64 Khamba, Raj Ghat, New Delhi, Delhi 110002, India

Maharaja Agrasen Medical CollegeИндияMaharaja Agrasen Medical CollegeIndiaGovind Ballabh Pant HospitalИндияGovind Ballabh Pant HospitalIndia20222704202224179‑82Copyright © Bishnoi I., Jagetia A., Kumar P., Sachdeva D., 20222022Bishnoi I., Jagetia A., Kumar P., Sachdeva D.Bishnoi I., Jagetia A., Kumar P., Sachdeva D.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1174

Каротидно‑кавернозные соустья обычно развиваются в результате травмы головы. Они могут быть ассоциированы с аневризмами, чаще всего с внутрикавернозной аневризмой внутренней сонной артерии, реже – с аневризмами иной локализации. Лечение таких фистул осложняется при наличии аневризмы. В подобных случаях эти дефекты могут быть устранены с помощью эндоваскулярного койлинга со стентированием или без него. Лечение еще более усложняется, если аневризма и каротидно‑кавернозные фистулы находятся в шейном сегменте внутренней сонной артерии. При такой локализации решение о том, что оперировать в первую очередь, принимается лечащим врачом.

В данной статье приводится описание одного из редчайших случаев посттравматических псевдоаневризм шейного сегмента внутренней сонной артерии в сочетании с каротидно‑кавернозной фистулой после тупой травмы головы и шеи, а также рассматриваются возможные стратегии лечения.

Carotid cavernous fistula is commonly caused by head trauma. Carotid cavernous fistula may be associated with intracavernous aneurysm of internal carotid artery, but occurrence of aneurysm at other site is rare. Management becomes complicated when carotid cavernous fistula is associated with aneurysm. Carotid cavernous fistula and aneurysm are managed by endovascular coiling with or without stenting. The management is more complicated if aneurysm is in cervical internal carotid artery along with carotid cavernous fistula. The decision to first obliterate what varies according to patient and doctor. We are reporting one of the rarest case of post-traumatic cervical internal carotid artery pseudo-aneurysms with carotid cavernous fistula following blunt head-neck injury and evidence based management strategies in such cases.

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The authors declare that there are no conflicts of interest present.