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Direct carotid cavernous fistula treated with transvenous approach: a case report.
Phuyal, Subash; Thapa Chhetri, Suchit; Phuyal, Prakash; Khanal, Deepa; Paudel, Sushanta.
Afiliación
  • Phuyal S; Department of Neuroradiology, Upendra Devkota Memorial National Institute of Neurology and Allied Sciences.
  • Thapa Chhetri S; Nepalese Army Institute of Health Sciences, Kathmandu.
  • Phuyal P; Department of Neuroradiology, Upendra Devkota Memorial National Institute of Neurology and Allied Sciences.
  • Khanal D; Manipal College of Medical Sciences Pokhara, Pokhara, Nepal.
  • Paudel S; Nepalese Army Institute of Health Sciences, Kathmandu.
Ann Med Surg (Lond) ; 86(6): 3796-3799, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38846860
ABSTRACT

Introduction:

Carotid cavernous fistulas are uncommon vascular abnormalities marked by anomalous connections between the carotid artery and the cavernous sinus. The authors present a case of a direct carotid cavernous fistula and its successful treatment in a 42-year-old female. Case presentation A 42-year-old female presented with right eye painful swelling and visual disturbance. She had no known comorbidities or history of injury. Examination showed proptosis, chemosis, and orbital bruit. Carotid angiography confirmed a carotid cavernous fistula, which was managed endovascularly. The patient fully recovered after treatment.

Discussion:

Carotid cavernous fistula occurs spontaneously or as a result of trauma or other vascular abnormalities. Common clinical manifestations include proptosis, chemosis, and orbital bruit, with vision loss being a feared complication. Diagnosis is typically confirmed through angiography, with digital subtraction angiography being the gold standard. Endovascular treatment is usually effective, although surgical management may be necessary in certain cases.

Conclusion:

Carotid cavernous fistula is a rare but potentially sight-threatening neurological condition. Treatment with a transvenous approach is effective for the management of direct carotid cavernous fistula.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ann Med Surg (Lond) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido