A 19-years-old boy was admitted after brain trauma with subarachnoid hemorrhage, left oculomotor nerve palsy, elevated pressure in the cavernous sinus and intracranial noise. The diagnosis of traumatic basilar-cavernous fistula complicated with basilar artery aneurysm was established by digital subtraction angiography. After endovascular occlusion of the vessels twice using detachable coils, the patient was cured without relapse during the 2-year follow-up. It is at the time being second report globally and the first one in China.
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[Traumatic basilar-cavernous fistula complicated by basilar artery aneurysm: report of one case].
Di Yi Jun Yi Da Xue Xue Bao
January 2002
Department of Neurosurgery, Zhujiang Hospital, First Military Medical University, Guangzhou 510282, China.
A 19-years-old boy was admitted after brain trauma with subarachnoid hemorrhage, left oculomotor nerve palsy, elevated pressure in the cavernous sinus and intracranial noise. The diagnosis of traumatic basilar-cavernous fistula complicated with basilar artery aneurysm was established by digital subtraction angiography. After endovascular occlusion of the vessels twice using detachable coils, the patient was cured without relapse during the 2-year follow-up.
View Article and Find Full Text PDFTraumatic basilar-cavernous fistula associated with aneurysm of basilar artery.
Chin J Traumatol
November 2000
Department of Neurosurgery, Zhujiang Hospital, The First Military Medical University, Guangzhou 510282, China.
A 19-year-old boy's left temporal region was struck by a screwdriver, he immedietly lost consciousness for several minutes, when he came back he had a serious headache and obvious left ptosis. CT scanning showed an intracranial air accumulation and obvious traumatic subarachnoid hemorrhage (SAH), 2 weeks later magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) showed a traumatic aneurysm in basilar artery. Digital subtraction angiography (DSA) was performed 4 weeks later, revealing a basilar-cavernous fistula and a saccular aneurysm of the basilar artery in his head.
View Article and Find Full Text PDFTraumatic basilar pseudoaneurysm with a basilar-cavernous arteriovenous fistula.
Neuroradiology
March 2001
Department of Neuroradiology, King's College Hospital, London, UK.
A traumatic pseudoaneurysm of the basilar artery with a basilar-cavernous sinus arteriovenous fistula was diagnosed in a 12-year-old girl using CT, MRI and angiography. It was successfully treated by coil embolisation. We speculate on the mode of formation of this rare traumatic lesion.
View Article and Find Full Text PDFEndovascular coil occlusion of a traumatic basilar-cavernous fistula: technical report.
Neurosurgery
June 1998
Department of Neurological Surgery, University of Southern California School of Medicine, Los Angeles, USA.
Objective And Importance: We describe an unusual case of an 8-year-old male patient presenting with a traumatic basilar artery aneurysm associated with a basilar-cavernous fistula.
Clinical Presentation: The fistula occurred as the result of an accident involving a vehicle and a pedestrian. The patient originally presented in a coma and with a dense left hemiparesis.
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