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J Neurol Neurosurg Psychiatry 2001;71:784-787 ( December )

Short report

Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm I Wankea, A Doerflera, D Stolkeb, M Forstinga

a Department of Neuroradiology, University Hospital of Essen, Hufelandstrasse 55, D-45122 Essen, Germany, b Department of Neurosurgery

Correspondence to: Dr I Wanke isabel.wanke{at}uni-essen.de

Received 15 February 2001 and in revised form 11 June 2001; Accepted 7 August 2001

Intracavernous carotid artery aneurysms causing a carotid-cavernous fistula (CCF) are rare. These aneurysms usually cause neurological symptoms due to gradual expansion without rupture. If they do rupture they most often lead to a CCF instead of bleeding into the subarachnoid space. A ptient is described with a ruptured intracavernous aneurysm causing a CCF resulting in acute onset of unilateral ophthalmoplegia. Selective coil embolisation of the aneurysm led to complete occlusion of the CCF with preservation of the internal carotid artery; symptoms resolved completely.


Keywords: CCF; endovascular embolisation; intracavernous aneurysm; ophthalmoplegia

© 2001 by Journal of Neurology, Neurosurgery, and Psychiatry


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