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A rare case report of trauma manifesting as multiple pseudoaneurysms of internal carotid artery and ipsilateral carotid cavernous fistula

https://doi.org/10.17650/1683-3295-2021-24-1-79-82

Abstract

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.

About the Authors

I. Bishnoi
Maharaja Agrasen Medical College
India

Agroha 125047, Haryana, India



A. Jagetia
Govind Ballabh Pant Hospital
India

Anita Jagetia

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



P. Kumar
Govind Ballabh Pant Hospital
India

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



D. Sachdeva
Govind Ballabh Pant Hospital
India

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



References

1. Tucci J.M., Maitland C.G., Pcsolyar D.W. et al. Carotid-cavernous fistula due to traumatic dissection of the extracranial internal carotid artery. AJNR 1984;5(6):828–9.

2. Fuse A., Yokota H., Kominami S., Yamamoto Y. Traumatic cerebral aneurysm associated with a contralateral traumatic carotid cavernous fistula. A case report. Interv Neuroradiol 2007;13(3):287–93. DOI: 10.1177/159101990701300309.

3. Teal J.S., Bergeron R.T., Rumbaugh C.L., Segall H.D. Aneurysms of the petrous or cavernous portions of the internal carotid artery associated with nonpenetrating head trauma. J Neurosurg 1973;38(5):568–74. DOI: 10.3171/jns.1973.38.5.0568.

4. Bromberg W.J., Collier B.C., Diebel L.N. et al. Blunt cerebrovascular injury practice management guidelines: the Eastern Association for the Surgery of Trauma. J Trauma 2010;68(2):471–7. DOI: 10.1097/TA.0b013e3181cb43da.

5. Pozzati E., Gaist G., Servadei F. Traumatic aneurysms of the supraclinoid internal carotid artery. J Neurosurg 1982;57(3):418–22. DOI: 10.3171/jns.1982.57.3.0418.

6. Salcman M., Botero E., Bellis E. Giant posttraumatic aneurysm of the intracranial carotid artery: Evolution and regression documented by computed tomography. Neurosurgery 1985;16(2): 218–21. DOI:10.1227/00006123-198502000-00016.

7. Redekop G.J. Extracranial carotid and vertebral artery dissection: A review. Can J Neurol Sci 2008;35(2):146–52. DOI: 10.1017/s0317167100008556.

8. Kraus R.R., Bergstein J.M., DeBord J.R. Diagnosis, treatment, and outcome of blunt carotid arterial injuries. Am J Surg 1999;178(3):190–3. DOI: 10.1016/s0002-9610(99)00157-9.

9. Ohta H., Natarajan S.K., Hauck E.F. et al. Endovascular stent therapy for extracranial and intracranial carotid artery dissection: Single-center experience. J Neurosurg 2011;115(1):91–100. DOI: 10.3171/2011.1.JNS091806. 10. Jagetia A., Sharma D., Singh D. et al. Endovascular occlusion of cervical internal carotid artery pseudoaneurysm in a child treated by N-butyl cyanoacrylate: A rare case report. Pediatr Neurosurg 2015;50(3):168–72. DOI: 10.1159/000381861.

10. Berne J.D., Reuland K.R., Villarreal D.H. et al. Internal carotid artery stenting for blunt carotid artery injuries with an associated pseudoaneurysm. J Trauma 2008;64(2):398–405. DOI: 10.1097/TA.0b013e31815eb788.

11. Coldwell D.M., Novak Z., Ryu R.K. et al. Treatment of posttraumatic internal carotid arterial pseudoaneurysms with endovascular stents. J Trauma 2000;48(3):470–2. DOI: 10.1097/00005373-200003000-00016.


Review

For citations:


Bishnoi I., Jagetia A., Kumar P., Sachdeva D. A rare case report of trauma manifesting as multiple pseudoaneurysms of internal carotid artery and ipsilateral carotid cavernous fistula. Russian journal of neurosurgery. 2022;24(1):79‑82. https://doi.org/10.17650/1683-3295-2021-24-1-79-82

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ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
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