CC BY-NC-ND 4.0 · Asian J Neurosurg 2018; 13(04): 1244-1246
DOI: 10.4103/ajns.AJNS_161_17
Case Report

Coil embolisation of post traumatic giant supraclinoid pseudoaneurysm presenting as carotid cavernous fistula

Dange Narayan
Department of Neurosurgery, KEM Hospital, Lilavati Hospital, Mumbai, Maharashtra
,
Singh Jayprakash
1   Department of Neurosurgery, Lilavati Hospital, Mumbai, Maharashtra
,
Dhar Arjun
1   Department of Neurosurgery, Lilavati Hospital, Mumbai, Maharashtra
,
Gupta Achal
1   Department of Neurosurgery, Lilavati Hospital, Mumbai, Maharashtra
› Author Affiliations

This report documents the occurrence, diagnosis and treatment of a 29 year-old male patient who presented with progressive swelling of the left eye with associated progressive loss of vision, three months after sustaining a closed head injury in a road traffic accident. Magnetic resonance imaging (MRI) showed a large, ill-defined lesion in the left supraclinoid and paraclinoid region with variable contrast enhancement. A four vessel Digital Subtraction Angiography (DSA) showed a large, supra-clinoid pseudoaneurysm which had ruptured inferiorly into the roof of cavernous sinus, forming direct carotid cavernous fistula (CCF) which lead to dilatation of the superior ophthalmic vein and subsequent peri-orbital oedema and chemosis of conjunctiva. Complete obliteration of the indirect CCF was achieved by coiling of the aneurysm alone. During follow up, patient reported a significant improvement in vision and follow up DSA after one year shows no recurrence with this technique.



Publication History

Article published online:
14 September 2022

© 2018. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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