Incidentally Discovered Direct Carotid-Cavernous Fistula in a Patient
With Anterior Choroidal Artery Territory Infarction

J Korean Neurol Assoc > Volume 31(3); 2013 > Article

Journal of the Korean Neurological Association 2013;31(3): 192-195.

전맥락막동맥영역 뇌경색 환자에서 우연히 발견된 직접 경동맥해면정맥동루

염홍섭, 손승남 a,d 최대섭 b,d 오민균 c,d 김도형 a 이건호 a 양태원 a 홍지호 a 권오영 a 최낙천 a,d

경상대학교 의학전문대학원 신경과 a , 영상의학과 b , 재활의학과 c , 경남권역심뇌혈관질환센터 d

Incidentally Discovered Direct Carotid-Cavernous Fistula in a Patient With Anterior Choroidal Artery Territory Infarction

Hong-Seop Yeom

Department of Neurology a , Gyeongsang National University School of Medicine, Jinju, Korea Department of Radiology b Gyeongsang National University School of Medicine, Jinju, Korea Department of Rehabilitation Medicine c , Gyeongsang National University School of Medicine, Jinju, Korea Gyeongnam Regional Cardiocerebrovascular Disease Center d , Jinju, Korea

Abstract

Direct carotid cavernous fistula (CCF), which is an abnormal communication between the intracavernous carotid artery and the cavernous sinus, is a very rare condition that is generally associated with head trauma, intracavernous 무뎌교는, and certain connective-tissue diseases. The case of a patient with an infarction in the anterior choroidal artery territory is described herein. Cerebral angiography was performed during consecutive workups to investigate the discrepancy between the magnetic resonance angiography data. An unexpected direct CCF of the ipsilateral side of the infarction was found. It is possible that the CCF had influenced the development of the infarction in the anterior choroidal artery territory. Key Words: Anterior choroidal artery, Carotid cavernous fistula, Cerebral infarction