Open AccessSupraclinoid direct carotid-cavernous sinus fistula
Author(s) -
Mohd Firdaus Che Ani,
Ramesh Kumar,
Mohamad Syafeeq Faeez Md Noh,
Ahmad Sobri Muda
Publication year - 2018
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20170058
Subject(s) - medicine , internal carotid artery , cavernous sinus , carotid cavernous fistula , fistula , carotid cavernous sinus fistula , sinus (botany) , radiology , surgery , botany , biology , genus
Carotid-cavernous fistulas (CCFs) are vascular shunts between the carotid arterial system with direct drainage into the cerebral venous system, mainly to the cavernous sinus. Direct CCF is a well-recognised complication following head trauma. Classically in direct or traumatic CCF, vessel wall tear occurs at the cavernous segment of the internal carotid artery, between the fixed and free segment. Tears at the supraclinoid segment are rare. We report a case of an internal carotid artery supraclinoid segment pseudoaneurysm, with a direct communication with the cavernous sinus, draining into the superior ophthalmic vein.