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Department of Neurosurgery and Neuroradiology İstanbul Medical Faculty University of İstanbul Turkey A complication of treatment of a carotid-cavernous fistula by detachable balloon technique is presented. During occlusion of the fistula, a balloon moved distally and occluded the middle cerebral artery. The patient underwent microsurgical embolectomy of the balloon and simultaneous closure of the fistula by use of fibrin glue. The impact and management of this complication are discussed. Keywords : Carotid-cavernous fistula, detachable balloon catheter, microsurgical embolectomy