Che Ani Mohd Firdaus, Kumar Ramesh, Md Noh Mohamad Syafeeq Faeez, Muda Ahmad Sobri
General Surgery Unit, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia.
Neurosurgery Unit, Universiti Kebangsaan Malaysia (UKM) MedicalCentre, Kuala Lumpur, Malaysia.
BJR Case Rep. 2018 Mar 21;4(3):20170058. doi: 10.1259/bjrcr.20170058. eCollection 2018 Mar.
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.
颈动脉海绵窦瘘（CCF）是颈动脉系统与脑静脉系统之间的血管分流，主要引流至海绵窦。直接型CCF是头部外伤后一种公认的并发症。典型的直接型或创伤性CCF中，血管壁撕裂发生在颈内动脉海绵窦段，即固定段与游离段之间。鞍上段的撕裂很少见。我们报告一例颈内动脉鞍上段假性动脉瘤病例，其与海绵窦直接相通，并引流至上眼静脉。
