Chen David, Chen Chi-Jen, Chen Jiann-Jy, Tseng Ying-Chi, Hsu Hui-Ling, Ku Jan-Wen
Department of Medical Imaging, Taipei Medical University, Shuang-Ho Hospital; New Taipei City, Taiwan - E-mail:
Interv Neuroradiol. 2013 Sep;19(3):339-43. doi: 10.1177/159101991301900311. Epub 2013 Sep 26.
A 59-year-old man who denied a history of trauma presented with left pulsatile tinnitus and left orbital swelling for six months. Digital subtraction angiography showed a left persistent trigeminal artery (PTA) with a trigeminal artery to cavernous sinus (trigeminal-cavernous sinus) fistula and a right PTA. Transarterial detachable coil embolization of the left trigeminal-cavernous sinus fistula was performed, and the symptoms subsided. There has been no report of bilateral PTAs with a spontaneous fistula connected from one PTA to the ipsilateral cavernous sinus. This paper reports such a rare circumstance.
一名59岁男性,否认有外伤史,出现左侧搏动性耳鸣和左侧眼眶肿胀6个月。数字减影血管造影显示左侧永存三叉动脉(PTA)伴三叉动脉至海绵窦(三叉-海绵窦)瘘及右侧PTA。对左侧三叉-海绵窦瘘进行了经动脉可脱性弹簧圈栓塞术,症状缓解。目前尚无关于双侧PTA伴自发瘘从一侧PTA连接至同侧海绵窦的报道。本文报告了这种罕见情况。