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Cerebral computed tomography angiography revealed a left persistent primitive trigeminal artery cavernous sinus fistula and a dissecting aneurysm in the V4 segment of the left vertebral artery. Digital subtraction angiography confirmed the diagnosis. The fistula was successfully occluded using dual-microcatheter coil embolization combined with Onyx-18 injection, assisted by balloon protection of the internal carotid artery. The vertebral artery dissecting aneurysm was managed conservatively by administering dual antiplatelet therapy (aspirin (100\u2009mg\/day) and clopidogrel (75\u2009mg\/day) for 3 months). Follow-up imaging at 11 months demonstrated complete resolution of the aneurysm.<\/jats:p>","DOI":"10.1177\/03000605261445219","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:46:25Z","timestamp":1778053585000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Persistent primitive trigeminal artery cavernous sinus fistula coexisting with left vertebral artery dissecting aneurysm: A case report"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1998-9342","authenticated-orcid":false,"given":"Cheng-Cai","family":"Wen","sequence":"first","affiliation":[{"name":"the Second Hospital of Longyan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rui-Shu","family":"Jiang","sequence":"additional","affiliation":[{"name":"the Second Hospital of Longyan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shi-Jie","family":"Wen","sequence":"additional","affiliation":[{"name":"the Second Hospital of Longyan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-010-0669-6"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.172.5.10227532"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.2176\/jns-nmc.2024-0151"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2022.923186"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.05.003"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2011.49.4.226"},{"key":"e_1_3_9_8_2","first-page":"249","article-title":"Cavernous fistula caused by rupture of an aneurysm of the trigeminal artery. 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Rev Otoneuroophtalmol 1982; 54: 249\u2013254.","journal-title":"Rev Otoneuroophtalmol"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.51.507"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2019.104306"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261445219","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/03000605261445219","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/03000605261445219","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T06:18:56Z","timestamp":1778307536000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/03000605261445219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/03000605261445219"],"URL":"https:\/\/doi.org\/10.1177\/03000605261445219","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"article-number":"03000605261445219"}}