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Journal of Korean Neurosurgical Society 1996;25(10): 2131-2135.
Direct Electrothrombosis of a Pseudoaneurysm after Obliteration of a Carotid Cavernous Fistula:Treatment with Guglielmi Detachable Coils: Case Report.
Chan Young Choi, Jeong Taik Kwon, Byung Kook Min, Jong Sik Suk, Hyeon Joo Kim, Hyung Jin Shim
1Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
2Department of Radiology, College of Medicine, Chung-Ang University, Seoul, Korea.
ABSTRACT
Carotid-cavernous fistulaes are traumatic in origin in over two thirds of all cases. Occlusion of these lesions by endovascular techniques or open surgical approaches is usually indicated. The current treatment of choice is occlusion by use of the intraarterial detachable balloon technique. Pseudoaneurysm, one of the complications after employment of the detachable balloon technique, develop at the balloon placement site after balloon deflation. Its incidence is approximately 44% in the literature. But peudoaneurysms are difficult to treat using endovascular techniques with detachable balloon or coils. The authors report that one case with a pseudoaneurysm who had abducens nerve palsy was treated successfully using Guglielmi detachable coils(GDC). His 6th cranial nerve palsy was improved within 6 weeks.
Key Words: Pseudoaneurysm; Guglielmi detachable coils; Carotid cavernous fistula
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