ENDOVASCULAR COIL OCCLUSION OF A TRAUMATIC BASILAR-CAVERNOUS FISTULA - TECHNICAL REPORT

OBJECTIVE AND IMPORTANCE: We describe an unusual case of an 8-year-old male patient presenting with a traumatic basilar artery aneurysm asso ciated with a basilar-cavernous fistula. CLINICAL PRESENTATION: The fi stula occurred as the result of an accident involving a vehicle and a pedestrian. The patient originally presented in a coma and with a dens e left hemiparesis. INTERVENTION: The traumatic basilar aneurysm and b asilar-cavernous fistula were successfully occluded by endovascular co il embolization in two sessions. By 6 months after injury, the patient had made an excellent neurological recovery, requiring only a left le g brace for walking, CONCLUSION: Endovascular coil embolization provid ed an effective treatment option in the case of this complex and unusu al arteriovenous fistula. We discuss the radiological and clinical fea tures of related traumatic neurovascular lesions.