S. GeibprasertP. JiarakongmunT. KringsS. PongpechFaculty of Medicine, Ramathibodi Hospital, Mahidol UniversityMedizinische Fakultat und Universitats Klinikum AachenHopital de BicetreMahidol University2018-07-122018-07-122008-06-01Acta Neurochirurgica. Vol.150, No.6 (2008), 583-58809420940000162682-s2.0-44749090332https://repository.li.mahidol.ac.th/handle/20.500.14594/19653Trigeminal cavernous fistulae are rare, compared to other types of carotid-cavernous fistulae with only about 17 examples previously reported in English literature. The aetiology can be either post-traumatic or spontaneous, and in the latter group either due to a ruptured trigeminal aneurysm or postulated intrinsic weakness of the artery itself. The treatment goal is to close the fistula while preserving the parent artery and this can be done either by surgical or endovascular methods. We present a 35-year-old woman with a spontaneous trigeminal fistula treated by combined trans-venous and trans-arterial embolisation. © 2008 Springer-Verlag.Mahidol UniversityMedicineReviewSCOPUS10.1007/s00701-008-1496-3