Conservative treatment of a traumatic direct low-flow carotid-cavernous sinus fistula: A case report

1997 ◽  
Vol 139 (12) ◽  
pp. 1181-1184 ◽  
Author(s):  
S. Spinnato ◽  
A. Talacchi ◽  
S. Perini ◽  
V. Dolenc ◽  
A. Bricolo
2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
A. Giotakis ◽  
F. Kral ◽  
H. Riechelmann ◽  
M. Freund

We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA). DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised.


1999 ◽  
Vol 39 (9) ◽  
pp. 681-684 ◽  
Author(s):  
Akimasa NISHIO ◽  
Yoshihiko NISHIJIMA ◽  
Takashi TSURUNO ◽  
Takaho MURATA ◽  
Akira HAKUBA

2017 ◽  
Vol 265 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Gavin Docherty ◽  
Maryam Eslami ◽  
Kailun Jiang ◽  
Jason S. Barton

2019 ◽  
Vol 3 (3) ◽  
pp. 256-258
Author(s):  
Maureen Canellas ◽  
Navneet Cheema

A 63-year-old female presented to the emergency department with worsening left-sided blurry vision and diplopia. She had previously seen several physicians and had been diagnosed with common ocular conditions – keratoconus and dry eye. However, despite treatment her symptoms were worsening. By the time her true underlying diagnosis was treated, she was left with permanent vision loss. This case report discusses the presentation, diagnosis, and treatment of her rare condition.


1991 ◽  
Vol 36 (2) ◽  
pp. 126-132 ◽  
Author(s):  
Masaki Komiyama ◽  
Toshihiro Yasui ◽  
Hisatsugu Yagura ◽  
Yoshihiko Fu ◽  
Yasunori Nagata

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