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Journal of the Korean Society of Traumatology 2003;16(2):164-169.
Carotid-C avernous Fistula With Internal Carotid Artery Dissection A ftera Craniofacial Trauma Injury - A case report -
Jin Seong Cho, M.D., Hyuk Jun Yang, M.D., Gun Lee, M.D., Chan Jong Yoo, M.D.*, Wook Jin, M.D.**, and Jae Gwan Lee, M.D.
Departments of Emergency Medicine, Neurosurgery*
and Diagnostic Radiology**
Gil Medical Center, Gachon Medical School, Incheon, Korea
두부외상 후 동반 발생한 경동맥해면정맥동루와 내경동맥박리증 1례
조진성·양혁준·이근·유찬종*·진욱**·이재관
가천의과대학교 길병원 응급의학과, 신경외과*
진단방사선과* *
Abstract
A carotid-cavernous fistula (CCF) is a pathologic arteriovenous communication between the carotid artery and the cavernous sinus, and the incidence of CCF as a result of craniofacial trauma is less than 0.2%. Traumatic internal carotid artery dissection (TICAD) is a rare phenomenon, occurring in 0.02 to 0.67% of cervical blunt trauma cases. We report a rare case of CCF associated with ICAD after craniofacial trauma injury,which is very rare. A 23-year-old woman presented with left ptosis on 21 days after a car crash accident. She had suffered from headaches, diplopia, tinnitus, and dizziness. Brain MRI revealed no mass or aneurysmal sac or intracranial hemorrhage, but cerebral angiography showed CCF with ICAD. She was treated with a ICAD percutaneous transarterial stent and endovascular embolization, 1 months after cerebral angiography. clinicians treating patients with craniofacial injuries should have a complete understanding of these patients’entity, because urgent intervention may improve outcome.
Key Words: Carotid-cavernous fistula (CCF); Internal carotid artery; Endovascular embolization;
Traumatic fistula


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