Journals / Gülhane Tıp Dergisi / 2021 / Cilt: 63 - Sayı: 2

A case of indirect carotid cavernous fistula presenting with proptosis and pulsatile exophthalmos

Pages
159–161
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In CCFs, the flowing stent can completely close the fistula line in a selected patient and appropriate localization.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Carotid cavernous fistulas (CCF) are abnormal arteriovenous anastomoses between the internal carotid artery (ICA) and the cavernous sinus (CS).
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Key Findings & Data:There are two broad categories of CCFs with different clinical presentations in direct and indirect form.
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Conclusion & Impact:In CCFs, the flowing stent can completely close the fistula line in a selected patient and appropriate localization.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Carotid cavernous fistulas (CCF) are abnormal arteriovenous anastomoses between the internal carotid artery (ICA) and the cavernous sinus (CS). There are two broad categories of CCFs with different clinical presentations in direct and indirect form. Internal carotid artery and the CS in the “direct” or “high flow” CCF, and branches of the internal and external carotid artery in “indirect” or “low flow” CCF are found abnormally connected. In the present case, a CCF draining into the ophthalmic vein was detected between the ICA and the CSs. An endovascular flow diverter stent was inserted, and the fistula line was closed. The complaints of the patient immediately disappeared. In CCFs, the flowing stent can completely close the fistula line in a selected patient and appropriate localization.

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Cite This Article

YUCE, G., DOĞAN, A. (2021). A case of indirect carotid cavernous fistula presenting with proptosis and pulsatile exophthalmos. Gülhane Tıp Dergisi, Cilt: 63 - Sayı: 2, 159–161. https://ajindex.com/articles/347984

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References (10)

  1. Barrow DL, Spector RH, Braun IF, Landman, et al. Classification and treatment of spontaneous carotidcavernous sinus fistulas. J Neurosurg. 1985;62:248- 256
  2. Ellis JA, Goldstein H, Sander Connolly Jr E, et al. Carotidcavernous fistulas. Neurosurg Focus. 2012;32:1- 11
  3. Newton TH, Cronqvist S. Involvement of dural arteries in intracranial arteriovenous malformations. Radiology. 1969;93:1071-1078
  4. Gruman AJ, Boivin-Faure L, Chapot R, et al. Ophthalmologic outcome of direct and indirect carotid cavernous fistulas. Int Ophthalmol. 2012;32:153-159
  5. Miller NR. Diagnosis and management of dural carotidcavernous sinus fistulas. Neurosurg Focus. 2007;23:1-15
  6. Miller NR. Dural carotid-cavernous fistulas: epidemiology, clinical presentation and management. Neurosurg Clin N Am. 2012;23:179-192
  7. Acierno MD, Trobe JD, Cornblath WT, Gebarski SS. Painful oculomotor palsy caused by posterior-draining dural carotid cavernous fistulas. Arch Ophthalmol. 1995;113:1045-1049
  8. Miyachi S. Negoro M. Handa T, et al. Dural carotid cavernous sinus fistula presenting as isolated oculomotor nerve palsy. Surg Neurol. 1993;39:105-109
  9. Wu HC, Ro LS, Chen CJ, et al. Isolated ocular motor nerve palsy in dural carotid-cavernous sinus fistula. Eur J Neurol. 2006;13:1221-1225
  10. Selky AK, Purvin VA. Isolated trochlear nerve palsy secondary to dural carotid-cavernous sinus fistula. J Neuroophthalmol. 1994;14:52-54.