2004 Volume 13 Issue 8 Pages 599-604
We report on a rare case of recurrent traumatic carotid-cavernous fistula (TCCF) after complete embolizationwith a detachable balloon at intervals of six months. A 15-year-old male patient was injured in a car accident andcomplained of diplopia and tinnitus. At an outside hospital, right carotid angiogram revealed TCCF, fed by the rightcarotid artery, and draining into a lot of ways. It was treated completely with a detachable balloon at the other hospital. Six months later the fistula recurred with a predominantly cortical reflux and with a reduction of drainingveins. We perfomed two intravascular treatments. First, we tried transarterial occlusion of the fistula with somedetachable balloons, but failed. Secondly, the internal carotid artery trapping with microcoils was performed. Postoperatively, the patient was free of symptom except for slight sixth nerve palsy. Two months after the trapping MRA indicated no recurrence of the fistula.
