Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review

Bin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally to&a...

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Autores principales:	Du B, Zhang M, Liu QL, Shen J, Wang YY
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	carotid-cavernous fistulas (CCF) posterior communicating artery (PCom A) cavernous sinus angioarchitecture Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/cfd5409651cf412f97c95a1d02af1acc
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spelling	oai:doaj.org-article:cfd5409651cf412f97c95a1d02af1acc2021-12-02T02:52:54ZTraumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review1178-2021https://doaj.org/article/cfd5409651cf412f97c95a1d02af1acc2016-03-01T00:00:00Zhttps://www.dovepress.com/traumatic-posterior-communicating-artery-cavernous-fistula-angioarchit-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Bin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally to this workAbstract: Carotid-cavernous fistulas (CCFs) are an abnormal vascular shunt between the carotid artery and the cavernous sinus, and were traditionally classified into four subtypes based on the detailed fistulas anatomy and arterial supply. CCFs are frequently encountered in patients with traumatic skull base fractures. In this report, we present one such case caused by two head traumas. Computed tomography and digital subtraction angiography confirmed that this CCF arose from posterior communicating artery of the internal carotid artery, which is not included in the traditional Barrow et al’s categorization. The possible mechanisms include laceration of dural mater of posterior clinoid process and laceration or pseudoaneurysm formation of posterior communicating artery. This case was successfully treated with endovascular coil embolization.Keywords: carotid-cavernous fistulas, cavernous sinus, CCF, PComA, posterior communicating arteryDu BZhang MLiu QLShen JWang YYDove Medical Pressarticlecarotid-cavernous fistulas (CCF)posterior communicating artery (PCom A)cavernous sinusangioarchitectureNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 707-711 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	carotid-cavernous fistulas (CCF) posterior communicating artery (PCom A) cavernous sinus angioarchitecture Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	carotid-cavernous fistulas (CCF) posterior communicating artery (PCom A) cavernous sinus angioarchitecture Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Du B Zhang M Liu QL Shen J Wang YY Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
description	Bin Du,1,* Meng Zhang,2,* Qing-Lin Liu,2 Jie Shen,2 Yun-Yan Wang21Department of Neurosurgery, Jinan Central Hospital Affiliated to Shandong University, 2Department of Neurosurgery, Qi Lu Hospital, Shandong University, Jinan, People’s Republic of China*These authors contributed equally to this workAbstract: Carotid-cavernous fistulas (CCFs) are an abnormal vascular shunt between the carotid artery and the cavernous sinus, and were traditionally classified into four subtypes based on the detailed fistulas anatomy and arterial supply. CCFs are frequently encountered in patients with traumatic skull base fractures. In this report, we present one such case caused by two head traumas. Computed tomography and digital subtraction angiography confirmed that this CCF arose from posterior communicating artery of the internal carotid artery, which is not included in the traditional Barrow et al’s categorization. The possible mechanisms include laceration of dural mater of posterior clinoid process and laceration or pseudoaneurysm formation of posterior communicating artery. This case was successfully treated with endovascular coil embolization.Keywords: carotid-cavernous fistulas, cavernous sinus, CCF, PComA, posterior communicating artery
format	article
author	Du B Zhang M Liu QL Shen J Wang YY
author_facet	Du B Zhang M Liu QL Shen J Wang YY
author_sort	Du B
title	Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_short	Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_full	Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_fullStr	Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_full_unstemmed	Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
title_sort	traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/cfd5409651cf412f97c95a1d02af1acc
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Traumatic posterior communicating artery-cavernous fistula, angioarchitecture, and possible pathogenesis: a case report and literature review

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