INTRODUCTION Carotico cavernous sinus fistula (CCF) is an abnormal communication between the carotid artery and the cavernous sinus and is classified angiographically as dural or direct. Spontaneous CCF is a dural arterio-venous fistula at the cavernous sinus which is different from traumatic CCF or CCF associated with a ruptured aneurysm at the cavernous internal carotid artery. Cerebral angio...

Traumatic intracranial aneurysms are rare, occurring in fewer than 1% of patients with cerebral aneurysms. They can occur following blunt or penetrating head trauma and are more common in the pediatric population. Traumatic aneurysms can be categorized histologically as true, false, or mixed, with false aneurysms being the most common. These aneurysms can present in a variety of ways, but are t...

A woman of seventy-one was admitted in April 1960, having been knocked down by a car. She was found to have a closed comminuted fracture at the junction of the uppermost and middle thirds of the left tibia and fibula (Fig. 1). There were superficial abrasions of the overlying skin and the area was tense and swollen. The circulation of the lower leg appeared satisfactory. There was no evidence o...

We describe five patients with blunt traumatic carotid dissection with delayed clinical presentation that varied from 2 weeks to 6 months. Four patients had severe head injury, and one patient had direct blunt trauma to the neck. Cerebrovascular symptoms developed in four patients. The fifth patient suffered loss of vision as a result of a concurrent giant intracranial dissecting aneurysm. Arte...

KAPLAN, B. (0 942): Hematemesis due to Rupture of an Aortic Aneurysm: Report of a Case, New Engl. 7. Med., 226,984. KoPPISCH, E. (1933): Clinico-Pathological Analysis of Interesting Cases, Bol. Asoc. mo'd. P. Rico., 25, 140. KRUDY, A. G., and SMITH, J. A. (1955): Multiple Saccular Aneurysms of the Thoracic Aorta with Spontaneous Rupture into the Esophagus: Report of a Case, Dis. Chest., 27, 690...

The purpose of this paper is to review the natural history, surgical management, and clinical and radiographic features of aneurysm of the aorta above the diaphragm. Experience is limited to 40 patients, of whom only nine were women. An operation, the aim of which was to resect the aneurysm, was undertaken in 14 patients; three of these died in the early postoperative period and the others are ...