A case of traumatic anterior cerebral artery-cavernous sinus fistula

Direct anterior cerebral artery-cavernous sinus fistula is an extremely rare complication of head trauma. We describe a male patient (age 49 years) with a history of head trauma 15 years ago who was hospitalised for a bulging red eye and tinnitus. Digital subtraction angiography showed a direct ante...

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Bibliographic Details
Published inRadiology case reports Vol. 16; no. 1; pp. 185 - 191
Main Authors Tuan, Tran Anh, Van Tuan, Nguyen, Quyen, Le Nguyen, Thien, Nguyen Tat
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.01.2021
Elsevier
Subjects
Case Report
Cavernous Sinus
Cerebral Artery
Fistula
Trauma
Cerebral Artery
Cavernous Sinus
DSA
CCF
Fistula
AcoA
Trauma
ACA
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Summary:Direct anterior cerebral artery-cavernous sinus fistula is an extremely rare complication of head trauma. We describe a male patient (age 49 years) with a history of head trauma 15 years ago who was hospitalised for a bulging red eye and tinnitus. Digital subtraction angiography showed a direct anterior cerebral artery (fork junction A1 - prior passage)-cavernous sinus fistula. The patient was treated with arterial endovascular intervention, complete sealing of the fistula orifice using coils. He was discharged 5 days later with no symptoms of a bulging red eye, ringing in the ears, or nerve paralysis. Re-examination after 3 months of stable clinical features did not show recurrent fistula. In conclusion, anterior cerebral artery-cavernous sinus fistula is an extremely rare lesion, and arterial endovascular intervention using coils is a safe and effective method for treatment of such lesion.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2020.11.012