scholarly journals Direct Carotid-cavernous Sinus Fistula Due to Ruptured Intracavernous Aneurysm Treated with Electrodetachable Coils —Case Report—

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


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.


1997 ◽  
Vol 139 (12) ◽  
pp. 1181-1184 ◽  
Author(s):  
S. Spinnato ◽  
A. Talacchi ◽  
S. Perini ◽  
V. Dolenc ◽  
A. Bricolo

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

Author(s):  
Luthfy Farhan ◽  
Ridha Dharmajaya

Introduction : A carotid-cavernous sinus fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus. Carotid cavernous fistula (CCF) is a very rare case it's difficult to diagnose. because most CCF patients rarely come for treatment. Case Report : A 33-year-old male presented with history of protrusion of Left eye ball, and double vision for the last 2 years. visual disturbances were found in the right eye for 2 years, blurry vision is increasingly. Bruit was audible in orbital region on the left side. DSA showed that there was a fistula in the left sinus cavernous region, the arteries in the left area showed inadequate to direct the left hemisphere, but in the right arety showed that the right artery was adversely affected right and left brain. Discussion : Traumatic CCFs are the most common type, accounting for up to 75% of all CCFs.87 They have been reported to occur in 0.2% of patients with craniocerebral trauma and in up to 4% of patients who sustain a basilar skull fractur.2 The symptoms and signs of CCF always include eyelid swelling, proptosis, chemosis, and hyperaemia, dilated of vessel and the condition is commonly misdiagnosed as Graves’ophthal-mopathy or inflammatory conjunctivitis.3Cerebral angiography is the gold standard for the definitive diagnosis, classification, and planning of endovascular intervention in CCFs. Angiographic results in this patient showed a fistula in the left cavernous sinus and inadequate supply of the left artery to the left hemisphere. Conclusion : This case is very unique because the left brain gets blood supply from the right carotid system, with the left carotid artery system inadequate to direct the left hemisphere because of the carotid cavernous fistula on the left side


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