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Diagnosis and management of trigemino-cavernous fistulas: case reports and review of the literature
- Source :
- Journal of NeuroInterventional Surgery. 7:73-78
- Publication Year :
- 2014
- Publisher :
- BMJ, 2014.
-
Abstract
- Although usually asymptomatic, a persistent trigeminal artery (PTA) can rarely be associated with a direct fistula to the cavernous sinus (ie, trigemino-cavernous fistula). We present three patients with trigemino-cavernous fistulas; two were subsequently treated using modern endovascular techniques while the third initially declined therapy. We then review the literature of reported cases of this unusual entity. The aberrant anatomy associated with a PTA presents unique challenges to the management of these lesions, and must be well delineated prior to treatment. Finally, conservative management of trigemino-cavernous fistulas, either de novo or recurrent, may be considered if they demonstrate no evidence of cortical venous reflux and patient symptoms are tolerable.
- Subjects :
- Adult
medicine.medical_specialty
Conservative management
Fistula
Usually asymptomatic
medicine
Humans
Head and neck
business.industry
Endovascular Procedures
General Medicine
medicine.disease
Surgery
Radiography
medicine.anatomical_structure
Basilar Artery
Arteriovenous Fistula
Cavernous sinus
Venous reflux
Trigeminal artery
Cavernous Sinus
Female
Neurology (clinical)
Radiology
business
Carotid Artery, Internal
Subjects
Details
- ISSN :
- 17598486 and 17598478
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Journal of NeuroInterventional Surgery
- Accession number :
- edsair.doi.dedup.....30953a588b9aa9b4f44b3710a13c72ce