We describe a rare case of traumatic persistent trigeminal artery (PTA) - cavernous sinus fistula. Cerebral angiography showed direct communication between the right PTA and the cavernous sinus which was treated by transcathether arterial embolization. Although previous reports have indicated the use of more coils to treat this condition, we successfully treated the patient with only two coils placed near the orifice of the fistula after sufficient anatomical evaluation.
GeibprasertSJiarakonqmunP: Trigeminal fistula treated by combined transvenous and transarterial embolisation. Acta Neurochir (Wien)150: 583–588, 2008.
2.
YangXMuS: Treatment of traumatictrigeminalcavernous fistula by coil embolization and compression of carotid artery. Neurol India55: 396–398, 2007.
3.
HahnelSHartmannM: Persistent hypoglossal artery: MRI, MRA and digital subtraction angiometry. Neuroradiology43: 767–769, 2001.
4.
EnomotoTSatoAMakiY: Carotid-cavernous sinus fistula caused by rupture of a primitive trigeminal artery aneurysm. Case report. J Neurosurg46: 373–376, 1977.
5.
TokunagaKSugiuK: Persistent primitive trigeminal artery-cavernous sinus fistula with intracerebral hemorrhage: endovascular treatment using detachable coils in a transarterial double-catheter technique. Case report and review of the literature. J Neurosurg101: 697–699, 2004.
6.
BergerMSHosobuchiY: Cavernous sinus fistula caused by intracavernous rupture of a persistent primitive trigeminal artery. Case report. J Neurosurg61: 391–395, 1984.
7.
HurstRWHowardRS: Carotid cavernous fistula associated with persistent trigeminal artery: endovascular treatment using coil embolization. Skull Base Surg8: 225–228, 1998.
8.
BernsteinKTeitelbaumGP: Coil embolization of a trigeminal-cavernous fistula. Am J Neuroradiol19: 1953–1954, 1998.
9.
OhshiroSInoueT: Branches of the persistent primitive trigeminal artery—an autopsy case. Neurosurgery32:144–148, 1993.