Kobayashi Nozomu, Miyachi Shigeru, Oi Sachie, Yamamoto Naohito
Department of Neurosurgery, Kainan Hospital, Aichi Prefectural Welfare Federation of Agricultural Cooperatives, Yatomi, Aichi, Japan.
Neurol Med Chir (Tokyo). 2011;51(1):37-40. doi: 10.2176/nmc.51.37.
A 30-year-old woman presented with traumatic carotid-cavernous fistula associated with persistent primitive trigeminal artery (PPTA) manifesting as right conjunctival chemosis, exophthalmos, and diplopia. The lesion was treated successfully by trans-arterial coil embolization using the double catheter method with balloon assist. Injury to the PPTA is relatively rare and the PPTA should be sacrificed together with the fistula during the repair.
一名30岁女性因外伤性颈动脉海绵窦瘘合并永存原始三叉动脉（PPTA）就诊，表现为右侧结膜水肿、眼球突出和复视。采用双导管球囊辅助经动脉弹簧圈栓塞术成功治疗了该病变。PPTA损伤相对少见，修复过程中应将PPTA与瘘管一并处理。
