We report a case of acute subdural haematoma in traumatic carotid-cavernous fistula. The patient had a history of head trauma four years ago. Postoperative study revealed CCF of dominant posterior drainage with giant pseudoaneurysm. Thereafter endovascular treatment using detachable balloons and detachable platinum micro-coils made successful occlusion of the fistula preserving the ICA.
HalbachWHieshimaGB: Carotid cavernous fistulae: Indications for urgent treatment. Am J Neuroradiol8: 627–633, 1987.
8.
HalbachWHigashidaRT: Transarterial platinum coil embolization of carotid-cavernous fistulas. Am J Neuroradiol12: 429–433, 1991.
9.
HalbachWHigashidaRT: Transvenous embolization of direct carotid cavernous fistulas. Am J Neuroradiol9: 741–747, 1988.
10.
HigashidaRTHalbachW: Interventional neurovascular treatment of traumatic carotid and vertebral artery lesions: Results in 234 cases. Am J Radiol153: 577–583, 1989.
11.
HiramatsuKUtsumiS: Intracerebral haemorrhage in carotid-cavernous fistula. Neuroradiology33: 67–69, 1991.
12.
IrieTTsuchiyaK: Subdural haematoma from ruptured arteriovenous malformation; Demonstration by MR imaging. Rinsho Hoshasen-Jpn J Clin Radiol34: 1377–1381 [in apn], 1989.
13.
KannoHInomoriS: Traumatic carotid-cavernous fistula presenting subarachnoid haemorrhage 5 years after head injury; case report. No Shinkei Geka19: 767–771 [in apn], 1991.
14.
LewisAITomsickTA: Management of 100 consecutive direct carotid-cavernous fistulas: Results of treatment with detachable balloons. Neurosurgery36: 239–245, 1995.
PhadkeRVKumarS: Traumatic carotid cavernous fistula: Anatomical variations and their treatment by detachable balloons. Australas Radiol42: 1–5, 1998.
17.
RengacharySSSzymanskiDC: Subdural haematomas of arterial origin. Neurosurgery8: 166–172, 1981.
18.
SiniluotoTSeppanenS: Transarterial embolization of a direct carotid cavernous fistula with Guglielmi detachable coils. Am J Neuroradiol18: 519–523, 1997.
19.
SteinmetzHHeisE: Traumatic giant aneurysms of the intracranial carotid artery presenting long after head injury. Surg Neurol30: 305–310, 1988.