Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review

Bin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally...

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Main Authors: Du B, Zhang M, Liu Q, Shen J, Wang Y
Format: Article
Language:English
Published: Dove Medical Press 2016-03-01
Series:Neuropsychiatric Disease and Treatment
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Online Access:https://www.dovepress.com/traumatic-posterior-communicating-artery-cavernous-fistula-angioarchit-peer-reviewed-fulltext-article-NDT
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author Du B
Zhang M
Liu Q
Shen J
Wang Y
author_facet Du B
Zhang M
Liu Q
Shen J
Wang Y
author_sort Du B
collection DOAJ
description Bin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally to this workAbstract: Carotid-cavernous fistulas (CCFs) are an abnormal vascular shunt between the carotid artery and the cavernous sinus, and were traditionally classified into four subtypes based on the detailed fistulas anatomy and arterial supply. CCFs are frequently encountered in patients with traumatic skull base fractures. In this report, we present one such case caused by two head traumas. Computed tomography and digital subtraction angiography confirmed that this CCF arose from posterior communicating artery of the internal carotid artery, which is not included in the traditional Barrow et al’s categorization. The possible mechanisms include laceration of dural mater of posterior clinoid process and laceration or pseudoaneurysm formation of posterior communicating artery. This case was successfully treated with endovascular coil embolization.Keywords: carotid-cavernous fistulas, cavernous sinus, CCF, PComA, posterior communicating artery
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spelling doaj-art-06461d0f6b4241a88b0c8d8d863886c92025-06-26T01:58:35ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-03-01Volume 12Issue 170771126211Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature reviewDu BZhang MLiu QShen JWang YBin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally to this workAbstract: Carotid-cavernous fistulas (CCFs) are an abnormal vascular shunt between the carotid artery and the cavernous sinus, and were traditionally classified into four subtypes based on the detailed fistulas anatomy and arterial supply. CCFs are frequently encountered in patients with traumatic skull base fractures. In this report, we present one such case caused by two head traumas. Computed tomography and digital subtraction angiography confirmed that this CCF arose from posterior communicating artery of the internal carotid artery, which is not included in the traditional Barrow et al’s categorization. The possible mechanisms include laceration of dural mater of posterior clinoid process and laceration or pseudoaneurysm formation of posterior communicating artery. This case was successfully treated with endovascular coil embolization.Keywords: carotid-cavernous fistulas, cavernous sinus, CCF, PComA, posterior communicating arteryhttps://www.dovepress.com/traumatic-posterior-communicating-artery-cavernous-fistula-angioarchit-peer-reviewed-fulltext-article-NDTcarotid-cavernous fistulas (CCF)posterior communicating artery (PCom A)cavernous sinusangioarchitecture
spellingShingle Du B
Zhang M
Liu Q
Shen J
Wang Y
Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
Neuropsychiatric Disease and Treatment
carotid-cavernous fistulas (CCF)
posterior communicating artery (PCom A)
cavernous sinus
angioarchitecture
title Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_full Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_fullStr Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_full_unstemmed Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_short Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_sort traumatic posterior communicating artery cavernous fistula angioarchitecture and possible pathogenesis a case report and literature review
topic carotid-cavernous fistulas (CCF)
posterior communicating artery (PCom A)
cavernous sinus
angioarchitecture
url https://www.dovepress.com/traumatic-posterior-communicating-artery-cavernous-fistula-angioarchit-peer-reviewed-fulltext-article-NDT
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AT liuq traumaticposteriorcommunicatingarterycavernousfistulaangioarchitectureandpossiblepathogenesisacasereportandliteraturereview
AT shenj traumaticposteriorcommunicatingarterycavernousfistulaangioarchitectureandpossiblepathogenesisacasereportandliteraturereview
AT wangy traumaticposteriorcommunicatingarterycavernousfistulaangioarchitectureandpossiblepathogenesisacasereportandliteraturereview