Asian Journal of Neurosurgery

CASE REPORT
Year
: 2018  |  Volume : 13  |  Issue : 4  |  Page : 1244--1246

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


Dange Nitin Narayan1, Singh Vikas Jayprakash2, Dhar Arjun2, Gupta Achal2 
1 Department of Neurosurgery, KEM Hospital, Lilavati Hospital, Mumbai, Maharashtra, India
2 Department of Neurosurgery, Lilavati Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Dange Nitin Narayan
Department of Neurosurgery, KEM Hospital, Lilavati Hospital, Mumbai, Maharashtra
India

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.


How to cite this article:
Narayan DN, Jayprakash SV, Arjun D, Achal G. Coil embolisation of post traumatic giant supraclinoid pseudoaneurysm presenting as carotid cavernous fistula.Asian J Neurosurg 2018;13:1244-1246


How to cite this URL:
Narayan DN, Jayprakash SV, Arjun D, Achal G. Coil embolisation of post traumatic giant supraclinoid pseudoaneurysm presenting as carotid cavernous fistula. Asian J Neurosurg [serial online] 2018 [cited 2020 Oct 29 ];13:1244-1246
Available from: https://www.asianjns.org/article.asp?issn=1793-5482;year=2018;volume=13;issue=4;spage=1244;epage=1246;aulast=Narayan;type=0