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Papers of the Week

2023 Jan 10

J Cerebrovasc Endovasc Neurosurg

Parent artery occlusion of a giant internal carotid artery pseudoaneurysm-related direct carotid cavernous fistula: A case report.


Andreev A, McMillan N, Money K, Shutran M, Ogilvy C
J Cerebrovasc Endovasc Neurosurg. 2023 Jan 10.
PMID: 36623887.


Traumatic internal carotid artery injuries can produce direct carotid-cavernous fistulas as well as giant internal carotid artery pseudoaneurysms. Clinical sequelae can include headaches, cranial nerves palsies, proptosis, chemosis and optic neuropathy with visual loss as the most dangerous complication. Herein, we present a case of one of the largest reported internal carotid artery pseudoaneurysms associated with a direct carotid cavernous fistula. We describe the techniques and pitfalls of treatment with parent vessel occlusion.