Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture

BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a...
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Autor*in:	Peng Sun [verfasserIn] Yuan Chai [verfasserIn] Wei Fang [verfasserIn] Hu Chen [verfasserIn] Qianfa Long [verfasserIn] Zhenwei Zhao [verfasserIn] Tao Zhang [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2022

Schlagwörter:	spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report

Übergeordnetes Werk:	In: Frontiers in Neurology - Frontiers Media S.A., 2010, 13(2022)
Übergeordnetes Werk:	volume:13 ; year:2022

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fneur.2022.923186

Katalog-ID:	DOAJ012201065

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520			\|a BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.
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allfields	10.3389/fneur.2022.923186 doi (DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617 DE-627 ger DE-627 rakwb eng RC346-429 Peng Sun verfasserin aut Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report Neurology. Diseases of the nervous system Yuan Chai verfasserin aut Wei Fang verfasserin aut Hu Chen verfasserin aut Qianfa Long verfasserin aut Zhenwei Zhao verfasserin aut Tao Zhang verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.923186 kostenfrei https://doaj.org/article/25edcdd835c84a4a961829736d38a617 kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022
spelling	10.3389/fneur.2022.923186 doi (DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617 DE-627 ger DE-627 rakwb eng RC346-429 Peng Sun verfasserin aut Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report Neurology. Diseases of the nervous system Yuan Chai verfasserin aut Wei Fang verfasserin aut Hu Chen verfasserin aut Qianfa Long verfasserin aut Zhenwei Zhao verfasserin aut Tao Zhang verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.923186 kostenfrei https://doaj.org/article/25edcdd835c84a4a961829736d38a617 kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022
allfields_unstemmed	10.3389/fneur.2022.923186 doi (DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617 DE-627 ger DE-627 rakwb eng RC346-429 Peng Sun verfasserin aut Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report Neurology. Diseases of the nervous system Yuan Chai verfasserin aut Wei Fang verfasserin aut Hu Chen verfasserin aut Qianfa Long verfasserin aut Zhenwei Zhao verfasserin aut Tao Zhang verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.923186 kostenfrei https://doaj.org/article/25edcdd835c84a4a961829736d38a617 kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022
allfieldsGer	10.3389/fneur.2022.923186 doi (DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617 DE-627 ger DE-627 rakwb eng RC346-429 Peng Sun verfasserin aut Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report Neurology. Diseases of the nervous system Yuan Chai verfasserin aut Wei Fang verfasserin aut Hu Chen verfasserin aut Qianfa Long verfasserin aut Zhenwei Zhao verfasserin aut Tao Zhang verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.923186 kostenfrei https://doaj.org/article/25edcdd835c84a4a961829736d38a617 kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022
allfieldsSound	10.3389/fneur.2022.923186 doi (DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617 DE-627 ger DE-627 rakwb eng RC346-429 Peng Sun verfasserin aut Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation. spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report Neurology. Diseases of the nervous system Yuan Chai verfasserin aut Wei Fang verfasserin aut Hu Chen verfasserin aut Qianfa Long verfasserin aut Zhenwei Zhao verfasserin aut Tao Zhang verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.923186 kostenfrei https://doaj.org/article/25edcdd835c84a4a961829736d38a617 kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022
language	English
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container_title	Frontiers in Neurology
authorswithroles_txt_mv	Peng Sun @@aut@@ Yuan Chai @@aut@@ Wei Fang @@aut@@ Hu Chen @@aut@@ Qianfa Long @@aut@@ Zhenwei Zhao @@aut@@ Tao Zhang @@aut@@
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We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">spontaneous carotid-cavernous fistula</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">persistent primitive trigeminal artery</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">aneurysm</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">interventional treatment</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">case report</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Neurology. 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callnumber-first	R - Medicine
author	Peng Sun
spellingShingle	Peng Sun misc RC346-429 misc spontaneous carotid-cavernous fistula misc persistent primitive trigeminal artery misc aneurysm misc interventional treatment misc case report misc Neurology. Diseases of the nervous system Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
authorStr	Peng Sun
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topic_title	RC346-429 Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture spontaneous carotid-cavernous fistula persistent primitive trigeminal artery aneurysm interventional treatment case report
topic	misc RC346-429 misc spontaneous carotid-cavernous fistula misc persistent primitive trigeminal artery misc aneurysm misc interventional treatment misc case report misc Neurology. Diseases of the nervous system
topic_unstemmed	misc RC346-429 misc spontaneous carotid-cavernous fistula misc persistent primitive trigeminal artery misc aneurysm misc interventional treatment misc case report misc Neurology. Diseases of the nervous system
topic_browse	misc RC346-429 misc spontaneous carotid-cavernous fistula misc persistent primitive trigeminal artery misc aneurysm misc interventional treatment misc case report misc Neurology. Diseases of the nervous system
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title	Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
ctrlnum	(DE-627)DOAJ012201065 (DE-599)DOAJ25edcdd835c84a4a961829736d38a617
title_full	Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
author_sort	Peng Sun
journal	Frontiers in Neurology
journalStr	Frontiers in Neurology
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author_browse	Peng Sun Yuan Chai Wei Fang Hu Chen Qianfa Long Zhenwei Zhao Tao Zhang
container_volume	13
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author-letter	Peng Sun
doi_str_mv	10.3389/fneur.2022.923186
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title_sort	case report: spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
callnumber	RC346-429
title_auth	Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
abstract	BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.
abstractGer	BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.
abstract_unstemmed	BackgroundThe incidence of carotid cavernous fistula (CCF) associated with persistent primitive trigeminal artery (PPTA) aneurysm rupture is extremely rare. We presented a case about a spontaneous CCF secondary to a ruptured PPTA aneurysm, which was successfully embolized with coils and onyx-18 by a trans-arterial approach.Case presentationA 55-year-old female suffered a sudden onset of headache, left orbital pain, and pulsatile exophthalmos for a month without any history of trauma. Angiography revealed a left-sided CCF associated with a ruptured PPTA aneurysm, with major drainage to the ipsilateral superior ophthalmic vein. Through a trans-arterial approach, the fistula and ruptured PPTA aneurysm were embolized with coils and onyx-18, while the cavernous sinus and PPTA were well-preserved. However, the preserved PPTA vanished at 4 month follow-up. The patient had no neurological deficit from hospitalization to 1 year follow-up period.ConclusionTrans-arterial approach was a reasonable choice for spontaneous CCF associated with ruptured PPTA aneurysm. The requirement for PPTA preservation depended on individual evaluation.
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title_short	Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture
url	https://doi.org/10.3389/fneur.2022.923186 https://doaj.org/article/25edcdd835c84a4a961829736d38a617 https://www.frontiersin.org/articles/10.3389/fneur.2022.923186/full https://doaj.org/toc/1664-2295
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author2	Yuan Chai Wei Fang Hu Chen Qianfa Long Zhenwei Zhao Tao Zhang
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doi_str	10.3389/fneur.2022.923186
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up_date	2024-07-04T00:07:42.070Z
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Case report: Spontaneous carotid-cavernous fistula associated with persistent primitive trigeminal artery aneurysm rupture

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