1. Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
- Author
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Ana-Belén Marín-Fernández, Maria Roman-Ramos, Paolo Cariati, José Fernandez-Solis, Ildefonso Martínez-Lara, and Hospital Universitario Virgen de las Nieves, Granada, Spain.
- Subjects
Diseases::Eye Diseases::Orbital Diseases::Exophthalmos [Medical Subject Headings] ,medicine.medical_specialty ,Pulsating exophthalmos ,Fistula ,Check Tags::Male [Medical Subject Headings] ,Case Report ,Odontología ,Orbital blow ,Exoftalmia ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,03 medical and health sciences ,Venas ,0302 clinical medicine ,Diseases::Cardiovascular Diseases::Vascular Diseases::Cerebrovascular Disorders::Carotid Artery Diseases::Carotid-Cavernous Sinus Fistula [Medical Subject Headings] ,medicine ,Rare syndrome ,Anatomy::Cardiovascular System::Blood Vessels::Arteries [Medical Subject Headings] ,030212 general & internal medicine ,Anatomy::Cardiovascular System::Blood Vessels::Veins::Cranial Sinuses::Cavernous Sinus [Medical Subject Headings] ,General Dentistry ,Carotid-cavernous fistula ,Oral Medicine and Pathology ,business.industry ,Carotid cavernous fistulas ,Seno cavernoso ,Endovascular approach ,medicine.disease ,CIENCIAS MÉDICAS [UNESCO] ,Ciencias de la salud ,Barrow´s classification ,Surgery ,Cavernous sinus ,UNESCO::CIENCIAS MÉDICAS ,cardiovascular system ,Proper treatment ,business ,Fístula del seno cavernoso de la carótida ,Anatomy::Cardiovascular System::Blood Vessels::Veins [Medical Subject Headings] ,030217 neurology & neurosurgery - Abstract
Journal Article; UNLABELLED Carotid-cavernous fistulas are an uncommon diseases characterized by abnormal communications between arteries and veins located in the cavernous sinus. According with Barrow´s classification they could be divided in two groups: direct and indirect. The typical symptoms showed by theses pathologies are: pulsating exophthalmos and orbital blow. The present study describes a case of direct posttraumatic carotid-cavernous fistula in a 26 years old man. Furthermore, we present the images that we used to make the diagnosis. In this light, we decided to treat this case with endovascular approach after considering several therapeutic options. The aim of the present report is twofold. First, we examine the importance of the proper management of the direct posttraumatic carotid-cavernous fistula. Second, we describe this rare syndrome with the goal of proposing suitable treatments. KEY WORDS Carotid cavernous fistulas, pulsating exophthalmos, orbital blow, endovascular approach, Barrow´s classification. Yes
- Published
- 2016