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Asian J Neurosurg. 2016 Apr-Jun;11(2):172. doi: 10.4103/1793-5482.175636.

Spontaneous closure of posttraumatic high-flow carotid-cavernous fistula following cerebral angiography.

Asian journal of neurosurgery

Ugan Singh Meena, Pankaj Gupta, Trilochan Shrivastava, Devendra Purohit

Affiliations

  1. Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.
  2. Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.

PMID: 27057229 PMCID: PMC4802944 DOI: 10.4103/1793-5482.175636

Abstract

Traumatic carotid-cavernous fistula (TCCF) is a direct communication between cavernous portion of the internal carotid artery (ICA) and cavernous sinus due to tear in ICA. Most of the cases are treated by endovascular embolization. Spontaneous resolution of high-flow TCCFs is extremely rare. We report a case of posttraumatic, direct, high-flow carotid cavernous fistula (Barrow type A) that resolved spontaneously after cerebral angiography.

Keywords: Barrow classification; embolization; spontaneous closure; traumatic carotid-cavernous fistula

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