Meyers P M, Halbach V V, Dowd C F, Lempert T E, Lefler J E, Malek A M, Phatouros C C, Higashida R T
Department of Radiology, Neurointerventional Division, University of California at San Francisco, San Francisco, California, USA.
J Neuroimaging. 2001 Jan;11(1):71-5. doi: 10.1111/j.1552-6569.2001.tb00015.x.
The authors describe the diagnosis and endovascular management of a multiaperture, ruptured cavernous internal carotid artery aneurysm causing a carotid cavernous fistula (CCF) using both transarterial and transvenous techniques. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with multiple shunts has not been previously reported.