Multitrauma with diffuse axonal injury, temporal bone fractures and traumatic caroticocavernous fistula
Diagnosis certain
Updates to Study Attributes
Findings
was changed:
-
Bilateral internal carotid artery dissection:
- Right: small intraluminal flaps in the distal lacerum / ascending cavernous segment, horizontal cavernous segment / anterior genu, and supraclinoid segment.
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Probable left caroticocavernous fistulaLeft: diffusely narrowed petrous temporal segment, large flap and intraluminal filling defects (probably thrombus) throughout the distal lacerum / ascending cavernous segments.
Updates to Study Attributes
Findings
was changed:
DSA was performed given the findings on CTA. This demonstrated a traumatic left caroticocavernous fistula and a large left ICA pseudoaneurysm.
Small traumatic pseudoaneurysms of the right cavernous ICA and carotid cave were also demonstrated (not shown).
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