Ko Hak Cheol, Koh Jun Seok, Shin Hee Sup, Lee Seung Hwan, Ryu Chang Woo
Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Gangdong-gu, Seoul, Korea.
Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Gangdong-gu, Seoul, Korea.
World Neurosurg. 2017 Nov;107:1051.e7-1051.e11. doi: 10.1016/j.wneu.2017.08.070. Epub 2017 Aug 24.
Traumatic injury of the posterior communicating artery or the basilar artery causing arteriovenous fistulae is rare.
Here we report an unusual case of the coincidence of a posterior communicating artery-cavernous sinus fistula and a basilar artery-cavernous sinus fistula associated with traumatic pseudoaneurysms of the posterior communicating and basilar arteries. The fistulas and pseudoaneurysms were obliterated completely after staged endovascular surgery via a transarterial and transvenous route.
To our knowledge, this is the first such report worldwide.
后交通动脉或基底动脉创伤性损伤导致动静脉瘘极为罕见。
在此,我们报告一例罕见病例,患者同时患有后交通动脉-海绵窦瘘和基底动脉-海绵窦瘘,并伴有后交通动脉和基底动脉的创伤性假性动脉瘤。通过经动脉和经静脉途径进行分期血管内手术后,瘘和假性动脉瘤被完全闭塞。
据我们所知,这是全球首例此类报告。