False aneurysm of cavernous carotid artery and carotid cavernous fistula: Complications following transsphenoidal surgery

R. Kachhara, G. Menon, R.N. Bhattacharya, S. Nair, A.K. Gupta, S. Gadhinglajkar, R.C. Rathod

Research output: Contribution to journalArticle

15 Citations (Scopus)


We present two cases of carotid injury during transsphenoidal surgery for pituitary adenoma. While in one of the cases it resulted in the formation of a false aneurysm of cavernous carotid artery, in the other patient, a carotid cavernous fistula (CCF) formed. The false aneurysm was managed by surgical trapping and the patient had an uneventful recovery. The CCF was initially managed with balloon embolization. The balloon got deflated and resulted in a false aneurysm with persistent CCF. This was occluded with Guglielmi Detachable Coils (GDC). The management options are discussed and relevant literature is reviewed. We emphasize the importance of an early cerebral angiography to know the status of the injured carotid artery and formation of false aneurysm/fistula.
Original languageEnglish
Pages (from-to)81-83
Number of pages3
JournalNeurology India
Issue number1
Publication statusPublished - 2003


Cite this