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 CASE REPORT
Year : 2003  |  Volume : 51  |  Issue : 1  |  Page : 81--83

False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery


1 Departments of Neurosurgery, Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
2 Departments of Anesthesiology, Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India

Correspondence Address:
R Kachhara
Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST), Trivandrum-695011
India
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Source of Support: None, Conflict of Interest: None


PMID: 12865528

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We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm / fistula.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow