Images in a 19-year-old man with left paraophthalmic aneurysm associated with a TCCF.
A, Left carotid angiogram reveals a paraophthalmic TCA (arrow) with rupture into a giant CS varix and draining to the superior ophthalmic vein and inferior petrosal sinus.
B, The TCA was subtotally occluded by using GDCs, which also resulted in complete occlusion of the TCCF.