1,749 results match your criteria Caroticocavernous Fistula


[Glaucoma due to elevated episcleral venous pressure].

Ophthalmologe 2018 Nov 30. Epub 2018 Nov 30.

Klinik und Poliklinik für Augenheilkunde, Klinikum der Universität Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.

Background: Glaucoma due to elevated episcleral venous pressure is a rare and difficult to treat form of secondary open angle glaucoma.

Objective: The pathophysiology, clinical findings, differential diagnosis and treatment options are discussed. Radius-Maumenee syndrome, Sturge-Weber syndrome and carotid-cavernous sinus fistulas are covered in particular. Read More

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http://dx.doi.org/10.1007/s00347-018-0828-4DOI Listing
November 2018
1 Read

Direct Carotid Cavernous Fistula Due to Rupture of a Cavernous Carotid Aneurysm Embedded within a Prolactinoma after Cabergoline Administration.

World Neurosurg 2018 Nov 19. Epub 2018 Nov 19.

Department of Neurosurgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, Japan.

Background: A small number of reports have discussed subarachnoid hemorrhage from a ruptured aneurysm embedded within a prolactinoma. To the best of our knowledge, however, no reports have discussed an embedded carotid cavernous fistula (CCF). We report a patient with CCF secondary to a ruptured internal carotid artery (ICA) aneurysm embedded within a prolactinoma. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.11.071DOI Listing
November 2018
4 Reads

Endovascular treatment of carotid-cavernous sinus fistulas: ophthalmic and visual outcomes.

Orbit 2018 Nov 22:1-10. Epub 2018 Nov 22.

a Department of Ophthalmology , Royal Brisbane and Women's Hospital , Herston , Queensland , Australia.

Purpose: The main objective was to report the epidemiology, clinical manifestations, angiography features, treatment modality and post-treatment outcomes in patients diagnosed with carotid cavernous fistulas (CCF).

Methods: A retrospective review of the medical imaging database in conjunction with medical records from 2004 to 2017 at the Royal Brisbane and Women's Hospital (RBWH) was conducted.We identified 39 patients with CCF (16 direct, 23 indirect). Read More

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http://dx.doi.org/10.1080/01676830.2018.1544261DOI Listing
November 2018
3 Reads

Re: Prediction of traumatic carotid-cavernous sinus fistula via noncontrast computed tomography by fracture pattern and abnormality of venous system.

J Trauma Acute Care Surg 2018 Dec;85(6):1131

Division of Traumatic Plastic Surgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Neurosurgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan Division of Traumatic Plastic Surgery, Department of Plastic and Reconstructive, Surgery Chang Gung Memorial Hospital, Taoyuan, Taiwan Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan, Craniofacial Research Center, Chang Gung University, Taoyuan, Taiwan.

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http://dx.doi.org/10.1097/TA.0000000000002108DOI Listing
December 2018
6 Reads

Coil Embolisation of Post Traumatic Giant Supraclinoid Pseudoaneurysm Presenting as Carotid Cavernous Fistula.

Asian J Neurosurg 2018 Oct-Dec;13(4):1244-1246

Department of Neurosurgery, Lilavati Hospital, Mumbai, Maharashtra, India.

This report documents the occurrence, diagnosis and treatment of a 29 year-old male patient who presented with progressive swelling of the left eye with associated progressive loss of vision, three months after sustaining a closed head injury in a road traffic accident. Magnetic resonance imaging (MRI) showed a large, ill-defined lesion in the left supraclinoid and paraclinoid region with variable contrast enhancement. A four vessel Digital Subtraction Angiography (DSA) showed a large, supra-clinoid pseudoaneurysm which had ruptured inferiorly into the roof of cavernous sinus, forming direct carotid cavernous fistula (CCF) which lead to dilatation of the superior ophthalmic vein and subsequent peri-orbital oedema and chemosis of conjunctiva. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_161_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208227PMC
November 2018
6 Reads

[Treatment of a Traumatic Direct Carotid Cavernous Fistula with an Intradural Internal Carotid Artery Pseudoaneurysm Using a Low-profile Visualized Intraluminal Support(LVIS)Stent:A Case Report].

No Shinkei Geka 2018 Nov;46(11):989-997

Department of Neurosurgery, Higashihiroshima Medical Center.

Traumatic carotid cavernous fistula(CCF)is known to present a direct connection between the cavernous segment of the internal carotid artery(ICA)and the cavernous sinus(CS). In rare cases, the fistula is formed between the intradural internal carotid artery(ICA)and the cavernous sinus(CS)via a pseudoaneurysm(pAN), requiring appropriate management and aggressive surgical treatment. We describe a 58-year-old man who sustained a severe head injury diagnosed as traumatic CCF treated with an intradural pAN procedure and transarterial coil embolization combined with a Low-profile Visualized Intraluminal Support(LVIS)stent. Read More

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http://dx.doi.org/10.11477/mf.1436203853DOI Listing
November 2018
6 Reads

Swollen and bloodshot eye following headache.

Am J Emerg Med 2018 Nov 7. Epub 2018 Nov 7.

Department of Emergency Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

A ruptured cavernous carotid aneurysm (CCA) with carotid cavernous fistula can appear as a benign headache but progress to a swollen and bloodshot eye overnight. A 66-year-old woman visited emergency department with sudden onset of pain behind her left forehead and vomiting. She was treated for a migraine-like headache and discharged. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183091
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http://dx.doi.org/10.1016/j.ajem.2018.11.008DOI Listing
November 2018
6 Reads

Superior and Inferior Ophthalmic Vein Thrombosis in the Setting of Lung Cancer.

Case Rep Oncol Med 2018 15;2018:6025274. Epub 2018 Oct 15.

Department of Internal Medicine, Einstein Medical Center Philadelphia, Philadelphia, USA.

Superior ophthalmic vein thrombosis is extremely rare and is often associated with orbital inflammation/infection, systemic/local tumors, hypercoagulable states, autoimmune conditions, and rarely carotid cavernous fistula. Clinical features include abrupt onset of painful proptosis, chemosis, ophthalmoplegia, and diminished visual acuity. Prompt diagnosis and treatment are essential to prevent permanent blindness. Read More

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https://www.hindawi.com/journals/crionm/2018/6025274/
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http://dx.doi.org/10.1155/2018/6025274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205109PMC
October 2018
5 Reads

Prediction of Traumatic Carotid-Cavernous Sinus Fistula via Non-Contrast CT by Fracture Pattern and Abnormality of Venous System.

J Trauma Acute Care Surg 2018 Oct 29. Epub 2018 Oct 29.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Keelung 204, Craniofacial Research Center, Chang Gung University, Taoyuan, Taiwan.

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http://dx.doi.org/10.1097/TA.0000000000002108DOI Listing
October 2018
4 Reads

Spontaneous resolution of direct carotid-cavernous fistulas: case series and literature review.

Interv Neuroradiol 2018 Sep 23:1591019918800220. Epub 2018 Sep 23.

3 Department of Radiology, Bumrungrad International Hospital, Bangkok, Thailand.

Spontaneous regression of direct carotid-cavernous fistulas (CCFs) is extremely rare. Most of the patients with direct CCFs are usually treated using endovascular techniques. Spontaneous obliteration of the direct fistulas probably results from thrombosis of the venous drainage and/or cavernous sinus. Read More

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http://dx.doi.org/10.1177/1591019918800220DOI Listing
September 2018
9 Reads

Acquired Ophthalmoplegia in Older Children and Adults.

Authors:
Gill Roper-Hall

J Binocul Vis Ocul Motil 2018 Jan-Mar;68(1):10-19. Epub 2018 Feb 5.

a Department of Ophthalmology , Saint Louis University Medical Center , St. Louis , Missouri.

Ophthalmoplegia or ophthalmoparesis are the terms given to paralysis or paresis of one or more of the extraocular muscles in one or both eyes. It may be representative of serious neurological or systemic disease. Other mechanisms may cause limitation of eye movement, including restrictive or myasthenic conditions, or combinations of several etiologies. Read More

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https://www.tandfonline.com/doi/full/10.1080/2576117X.2017.1
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http://dx.doi.org/10.1080/2576117X.2017.1421820DOI Listing
February 2018
3 Reads

A red eye induced by a spontaneous carotid cavernous fistula.

Authors:
Yu Xia

Am J Emerg Med 2018 Dec 21;36(12):2336.e1-2336.e2. Epub 2018 Aug 21.

Department of Ophthalmology, Beijing Aerospace General Hospital, 7 Wanyuan North Road, Fengtai District, Beijing 100076, China. Electronic address:

A 73-year-old woman initially presented to our ophthalmology department with complaint of a red eye with gradual proptosis and mild restricted movement of the right eye who was misdiagnosed with conjunctivitis during 2 months. One week later she returned to the emergency department with a painful, swollen right eye and a high intraocular pressure of 41 mm Hg and limitation of her extraocular muscles in nearly all fields of gaze. As her IOP was high, she was diagnosed as having secondary glaucoma and was prescribed timolol 0. Read More

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http://dx.doi.org/10.1016/j.ajem.2018.08.055DOI Listing
December 2018
18 Reads

The routes for embolization of dural carotid cavernous fistulas when the endovascular approach is indicated as a first-line strategy.

Interv Neuroradiol 2018 Aug 30:1591019918796493. Epub 2018 Aug 30.

1 Division of Interventional Neuroradiology, University of São Paulo, São Paulo, Brazil.

Introduction Multiple ways to access the dural carotid cavernous fistula have been described. The aim of the present study was to assess the results of embolization of a dural carotid cavernous fistula via different routes using endovascular accesses as a first-line strategy. Methods A retrospective data analysis of a consecutive series of 63 patients presenting with dural carotid cavernous fistula was performed. Read More

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http://dx.doi.org/10.1177/1591019918796493DOI Listing
August 2018
10 Reads

Post-traumatic right carotid-cavernous fistula resulting in symptoms in the contralateral eye: a case report and literature review.

BMC Ophthalmol 2018 Jul 25;18(1):183. Epub 2018 Jul 25.

Department of Ophthalmology, The First Affiliated Hospital, Jinan University, 613 West Huangpu Ave, Guangzhou, 510632, China.

Background: To report a case of a carotid-cavernous fistula (CCF) that occurred after a motor vehicle accident and review the uniqueness of this case and the main confusing points for the diagnosis of such cases.

Case Presentation: A 22-year-old man complained of left eyelid swelling, eye redness, visual decrease and occasional headache after motor vehicle accident 4 months prior during which he experienced a head injury. He was initially thought to have glaucoma, but he was finally diagnosed with a right CCF based on magnetic resonance imaging (MRI) and digital subtraction angiography (DSA). Read More

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http://dx.doi.org/10.1186/s12886-018-0863-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060543PMC
July 2018
1 Read
1.075 Impact Factor

The Case of IgG4-Related Ophthalmic Disease with Perivascular Lesions of Superior Ophthalmic Vein Associated with Optic Nerve Disturbance.

Neuroophthalmology 2018 Aug 3;42(4):251-255. Epub 2017 Nov 3.

Department of Ophthalmology and Visual Science, Chiba University Graduate School of Medicine, Chiba, Japan.

A 61-year-old man with hyperthyroidism had exophthalmos with dilated conjunctival vessels in both eyes. Magnetic resonance imaging showed that the superior ophthalmic veins had a funicular-like appearance. Cerebral angiography showed no blood flow from both internal carotid arteries to the cavernous sinus, thus excluding a carotid-cavernous fistula. Read More

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http://dx.doi.org/10.1080/01658107.2017.1394328DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6056214PMC
August 2018
1 Read

A rare case of bilateral spontaneous indirect caroticocavernous fistula treated previously as a case of conjunctivitis.

Ther Adv Ophthalmol 2018 Jan-Dec;10:2515841418788303. Epub 2018 Jul 17.

North Devon District Hospital, Barnstaple, UK.

Carotid cavernous fistula is an abnormal communication between the carotid arterial system and the cavernous sinus. We present an interesting, rare case of bilateral spontaneous 'Barrow type- C' fistula treated presumptively as conjunctivitis. A 66 year old patient presented in the eye casualty at North Devon District Hospital in January 2016, referred from her General practitioner complaining of bilateral red eyes. Read More

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http://dx.doi.org/10.1177/2515841418788303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050812PMC
July 2018
7 Reads

An Eye with a Heartbeat: Carotid Cavernous Fistula-a Case Report.

J Emerg Med 2018 09 23;55(3):e75-e76. Epub 2018 Jun 23.

Emergency Department, Mercy Health Partners, Muskegon, Michigan.

Background: A carotid cavernous fistula is a rare type of arteriovenous (AV) fistula due to an abnormal communication between the cavernous sinus and the carotid arterial system. Normal venous return to the cavernous sinus is impeded as high-pressure arterial blood enters the cavernous sinus. The classical triad of symptoms is characterized by pulsating exophthalmos, ocular bruit, and conjunctival chemosis. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.05.015DOI Listing
September 2018
3 Reads

Pathophysiology of carotid-cavernous fistulas in vascular Ehlers-Danlos syndrome: a retrospective cohort and comprehensive review.

Orphanet J Rare Dis 2018 Jun 25;13(1):100. Epub 2018 Jun 25.

Hôpital Européen Georges Pompidou, Département de Génétique, Centre de Référence des Maladies Vasculaires Rares, Hôpital Européen Georges Pompidou, AP-HP, 20-40 rue Leblanc, 75908, Paris Cedex 15, France.

Background: Vascular Ehlers-Danlos syndrome (vEDS) is a rare condition characterized by connective tissue fragility. Direct spontaneous carotid-cavernous fistula (sCCF) is reportedly pathognomonic of vEDS. We conducted this study to understand the possible mechanisms of occurrence of sCCF in this subset of patients. Read More

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http://dx.doi.org/10.1186/s13023-018-0842-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019721PMC
June 2018
4 Reads

Optic Nerve Sheath Dural Arteriovenous Fistula Misdiagnosed As A Carotid Cavernous Fistula.

Authors:
Elena Downs

J Radiol Case Rep 2018 Feb 28;12(2):1-10. Epub 2018 Feb 28.

Department of Neurosciences, Royal Brisbane and Women's Hospital, Brisbane, Australia.

Dural arteriovenous fistulas (dAVf) are uncommon, acquired vascular lesions. Their location and vascular anatomy produces varied signs and symptoms and are misdiagnosed as other vascular anomalies. We present an atypical case of a dAVf identified along the left optic nerve sheath. Read More

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http://dx.doi.org/10.3941/jrcr.v12i2.2807DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965282PMC
February 2018

[Injury characteristics and therapeutic strategy of patients injured in "8·8" Jiuzhaigou earthquake].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):358-362

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To summarize the injury characteristics and therapeutic strategy of patients injured in "8·8" Jiuzhaigou earthquake.

Methods: The clinical data of 48 patients injured in "8·8" Jiuzhaigou earthquake who were admitted to Mianyang Central Hospital were analyzed retrospectively. There were 25 males and 23 females with an average age of 36 years (range, 5-87 years). Read More

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http://dx.doi.org/10.7507/1002-1892.201710077DOI Listing
March 2018
4 Reads

Posttraumatic Trigeminal-Cavernous Fistula.

World Neurosurg 2018 Aug 23;116:152-154. Epub 2018 May 23.

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, P. R. China. Electronic address:

Introduction: Persistent trigeminal artery is the most frequent embryonic communication between the vertebrobasilar and carotid systems. To the best of our knowledge, posttraumatic trigeminal-cavernous fistula is rarely reported in the literature.

Case Presentation: We present a 47-year-old man with posttraumatic trigeminal-cavernous fistula, which we treated using Onyx embolization. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.05.079DOI Listing
August 2018
4 Reads
2.420 Impact Factor

Contralateral extensive cerebral hemorrhagic venous infarction caused by retrograde venous reflux into the opposite basal vein of Rosenthal in posttraumatic carotid-cavernous fistula: A case report and literature review.

Interv Neuroradiol 2018 Oct 19;24(5):546-558. Epub 2018 May 19.

3 Department of Radiology, Bumrungrad International Hospital, Bangkok, Thailand.

We describe a patient with traumatic carotid-cavernous fistula (CCF), subsequently developing contralateral extensive hemorrhagic venous infarction from retrograde venous reflux into the opposite basal vein of Rosenthal. A 54-year-old woman was involved in a motor vehicle accident and sustained severe traumatic brain injury. Two months later, she developed bilateral proptosis and audible bruit. Read More

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http://dx.doi.org/10.1177/1591019918776615DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116133PMC
October 2018
4 Reads

Spontaneous direct carotid-cavernous sinus fistula secondary to a persistent primitive trigeminal artery treated by trans-venous coil embolisation.

Interv Neuroradiol 2018 Oct 12;24(5):567-570. Epub 2018 May 12.

Department of Medical Imaging, Princess Alexandra Hospital, Woolloongabba, Australia.

A healthy 51-year-old female presented with a spontaneous direct carotid-cavernous sinus fistula associated with a persistent primitive trigeminal artery. She had no history of connective tissue or cerebrovascular disorders or significant head trauma. This is a rare lesion with only 18 previously reported cases. Read More

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http://dx.doi.org/10.1177/1591019918774241DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116122PMC
October 2018
1 Read

May the Inferior Petrosal Sinus Recanalization During Endovascular Treatment for Carotid-Cavernous Fistulas Increase the Risk of Sixth Nerve Palsy?

World Neurosurg 2018 Aug 3;116:e246-e251. Epub 2018 May 3.

Department of Interventional Neuroradiology, Rothschild Foundation Hospital, Paris, France.

Background: Sixth nerve palsy is a common complication of endovascular treatment for carotid-cavernous fistulas (CCF). Two hypotheses are evoked: the spontaneous venous congestion into the cavernous sinus and the direct compression of the nerve by the embolic agent into the cavernous sinus. Nevertheless, the evidence is still uncertain. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.04.182DOI Listing
August 2018
1 Read

Spontaneous Resolution of Post-Traumatic Direct Carotid-Cavernous Fistula.

Interv Neurol 2018 Feb 27;7(1-2):1-5. Epub 2017 Sep 27.

Department of Neurology, Boston Medical Center, Boston, Massachusetts, USA.

Post-traumatic carotid-cavernous fistulas are due to a tear in the wall of the cavernous carotid artery, leading to shunting of blood into the cavernous sinus. These are generally high-flow fistula and rarely resolve spontaneously. Most cases require endovascular embolization. Read More

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http://dx.doi.org/10.1159/000480303DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881147PMC
February 2018
2 Reads
1 Citation

Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

J Neurointerv Surg 2018 Jun 7;10(6):e11. Epub 2018 Apr 7.

Department of Neurosurgery, Huntington Memorial Hospital, Pasadena, California, USA.

Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CCF thrombosed, leaving an engorged superficial middle cerebral vein (SMCV) as the only venous outflow from the cavernous sinus. Access to the CCF was made possible after careful navigation of the sigmoid sinus, the vein of Labbé and the SMCV, bypassing the need for surgical access to the SMCV or for a direct transorbital puncture. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013229.repDOI Listing
June 2018
8 Reads

Caroticocavernous Fistula: Successful Reversal by Endovascular Treatment.

J Coll Physicians Surg Pak 2018 Mar;28(3):S54-S55

Department of Diagnostic Radiology, Al-Khidmat Teaching Hospital, Mansoora.

A 22-year male presented in outpatient department with right sided proptosis and chemosis, after a roadside accident two months back. He was on treatment for orbital cellulitis and taking steroids with antibiotics, both orally and topically. He was also on topical antiglaucoma agents. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.03.S54DOI Listing
March 2018
2 Reads

Prediction of traumatic carotid-cavernous sinus fistula via noncontrast computed tomography by fracture pattern and abnormality of venous system: Methodological issues on prediction studies.

Authors:
Siamak Sabour

J Trauma Acute Care Surg 2018 Sep;85(3):646

Department of Clinical Epidemiology School of Health (S.S.) Shahid Beheshti University of Medical Sciences Tehran, I.R. Iran.

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http://Insights.ovid.com/crossref?an=01586154-900000000-9879
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http://dx.doi.org/10.1097/TA.0000000000001845DOI Listing
September 2018
3 Reads

Vasospasm in the setting of traumatic bilateral carotid-cavernous fistulas and its effect on treatment.

Surg Neurol Int 2018 16;9. Epub 2018 Jan 16.

Department of Neurological Surgery, University of California Irvine, Orange, California, USA.

Background: Direct, Type A, cavernous-carotid fistulas (CCFs) are predominantly caused by head trauma, especially when basilar skull fractures are present. Transarterial endovascular treatment of direct CCFs is the preferred method of treatment. Bilateral CCFs are estimated to be present in 1-2% of the cases. Read More

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http://dx.doi.org/10.4103/sni.sni_190_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5791513PMC
January 2018
3 Reads

Occipital lobe infarction: a rare presentation of bilateral giant cavernous carotid aneurysms: a case report.

BMC Ophthalmol 2018 Feb 2;18(1):25. Epub 2018 Feb 2.

Department of Ophthalmology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Bangkok, 10400, Thailand.

Background: Cavernous carotid aneurysm (CCA) represents 2-9% of all intracranial aneurysms and 15% of internal carotid artery (ICA) aneurysms; additionally, giant aneurysms are those aneurysms that are > 25 mm in size. Bilateral CCAs account for 11-29% of patients and are commonly associated with structural weaknesses in the ICA wall, secondary to systemic hypertension. CCAs are considered benign lesions, given the low risk for developing major neurologic morbidities (i. Read More

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http://dx.doi.org/10.1186/s12886-018-0687-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797379PMC
February 2018
6 Reads

A rare case report of complications in craniofacial injuries: Cavernous sinus-carotid fistula.

Medicine (Baltimore) 2017 Dec;96(52):e9511

Department of Pediatrics, West China Second Hospital, Sichuan University.

Rationale: Cavernous sinus-carotid fistula (CCF) is a rare complication of craniofacial injuries in patients receiving oral and maxillofacial surgical care.

Patient Concerns: A retrospective review of 15 patients with CCF records was conducted. In addition, we present a rare case of a 32-year-old Chinese woman with CCF receiving oral and maxillofacial surgical care. Read More

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http://dx.doi.org/10.1097/MD.0000000000009511DOI Listing
December 2017
9 Reads

Delayed migration of Squid 18 following embolisation of a direct carotico-cavernous fistula.

Interv Neuroradiol 2018 Apr 25;24(2):210-213. Epub 2018 Jan 25.

2 Bangalore, India.

We report a case of delayed migration of Squid 18 following treatment of a direct carotico-cavernous fistula. Read More

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http://dx.doi.org/10.1177/1591019917736909DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847003PMC
April 2018
26 Reads

Transvenous Aneurysm Sac and Rupture Point Coil Embolization of Direct Carotid Cavernous Fistula after Pipeline Embolization.

NMC Case Rep J 2018 Jan 28;5(1):15-19. Epub 2017 Nov 28.

Department of Neurosurgery, Juntendo University School of Medicine, Tokyo, Japan.

A delayed aneurysm rupture after flow diverter therapy is a rare but serious complication. Due to the anatomical specificity, a delayed rupture of a carotid cavernous aneurysm may cause a direct carotid cavernous fistula (dCCF). We present a novel therapeutic approach for treatment of dCCF after flow diverter therapy using the Pipeline embolization device (PED). Read More

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http://dx.doi.org/10.2176/nmccrj.cr.2017-0102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767481PMC
January 2018
5 Reads

Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient.

Folia Med (Plovdiv) 2017 Dec;59(4):472-476

2Department of Neurosurgery, Faculty of Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.

We describe the case of an 83-year-old woman with left-sided ophthalmoplegia. She had no family history of connective tissue disease. The computed tomography study found a dilated left cavernous sinus. Read More

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http://dx.doi.org/10.1515/folmed-2017-0059DOI Listing
December 2017
7 Reads

A Case of Right-Sided Direct Carotid Cavernous Fistula: A Diagnostic Challenge.

Am J Case Rep 2018 Jan 12;19:47-51. Epub 2018 Jan 12.

Department of Internal Medicine, University of Nevada-Reno, School of Medicine, Reno, NV, USA.

BACKGROUND Carotid cavernous fistulas (CCFs) are rare potentially sight-threatening abnormal connections between carotid artery and cavernous sinus. CASE REPORT We report a case of CCF in an 83-year-old female, who presented with swollen and painful right eye. The patient was initially treated with empiric antibiotics for suspected peri-orbital cellulitis, as noted clinically and in computed tomography (CT) orbits. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5772457PMC
January 2018
4 Reads

Choroidal thickening in a case of carotid cavernous fistula.

Orbit 2018 Aug 8;37(4):306-308. Epub 2018 Jan 8.

e Radiodiagnostic and Interventional Radiology Department , University Hospital Ramón y Cajal , Madrid , Spain.

A 47-year-old woman was diagnosed with dural carotid cavernous fistula (CCF) in her right eye (RE). Scans of the choroid using Spectralis optic coherence tomography (OCT) demonstrated significant asymmetry in subfoveal choroidal thickness (RE 451 μm, left eye (LE) 367 μm). This asymmetry disappeared after the fistula was embolizated through the ophthalmic artery (RE 341 μm; LE 340 μm). Read More

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http://dx.doi.org/10.1080/01676830.2017.1423338DOI Listing
August 2018
2 Reads

Prediction of traumatic carotid-cavernous sinus fistula via noncontrast computed tomography by fracture pattern and abnormality of venous system.

J Trauma Acute Care Surg 2018 Feb;84(2):312-318

From the Division of Traumatic Plastic Surgery, Department of Plastic and Reconstructive Surgery (S.M., C.C., P.C.), Department of Neurosurgery(T.L.), Department of Traumatology (S.W.), Department of Diagnostic Radiology(Y.W.), and Department of Plastic and Reconstructive Surgery (C.C.), Craniofacial Research Center, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan.

Background: Traumatic carotid-cavernous sinus fistula (tCCF) is infrequent but with high morbidity if delayed diagnosed or managed. Because of the lack of screening criteria and requirement of advanced and invasive radiological examinations, diagnosis is often delayed or underdiagnosed.

Methods: A matched case-control study with univariate and multivariate analyses was conducted to predict tCCFs. Read More

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http://dx.doi.org/10.1097/TA.0000000000001749DOI Listing
February 2018
14 Reads

Amelioration of acute orbital compartment syndrome following transvenous embolization for an indirect carotid-cavernous fistula: A case report.

Medicine (Baltimore) 2017 Dec;96(49):e9096

Department of Ophthalmology, Tri-Service General Hospital, Taipei City, Taiwan (R.O.C.).

Rationale: Orbital compartment syndrome (OCS) is a rare occurrence after transvenous embolization of indirect carotid-cavernous fistula (CCF). A lateral canthotomy and cantholysis are the most commonly performed surgical interventions. In our case, as the acute OCS occurred immediately after an uneventful transvenous embolization, an orbital floor orbitectomy was performed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201712080-0012
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http://dx.doi.org/10.1097/MD.0000000000009096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728951PMC
December 2017
8 Reads

Bilateral Traumatic Caroticocavernous Fistulas: A Case Report and Review of the Literature.

J Oral Maxillofac Surg 2018 Apr 23;76(4):826-830. Epub 2017 Nov 23.

Consultant, Department of Oral and Maxillo-Facial Surgery, Oxford University Hospitals National Health Service Foundation Trust, Oxford, Oxfordshire, UK.

A traumatic caroticocavernous fistula (CCF) is an acquired, abnormal communication between the internal carotid artery and the cavernous sinus, secondary to trauma. This rare condition can initially be misdiagnosed, because its presentation shares features common to those of facial trauma, which can result in serious complications. We describe a case of bilateral CCF in an adult patient after a road traffic accident. Read More

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http://dx.doi.org/10.1016/j.joms.2017.11.018DOI Listing
April 2018
3 Reads

Transvenous Coil Embolization for the Treatment of Carotid Cavernous Fistula after Pipeline Placement: A Case Report.

J Stroke Cerebrovasc Dis 2018 Apr 22;27(4):e65-e69. Epub 2017 Nov 22.

Department of Neurosurgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50, Minamikoshigaya, Koshigaya-shi, Saitama 343-8555, Japan.

The Pipeline embolization device (PED), a type of flow diverter, has become an appealing alternative treatment option for large or giant and wide-necked intracranial aneurysms. Carotid cavernous fistula (CCF) resulting from delayed aneurysmal rupture is a rare complication of PED placement with unknown pathophysiology. Here, we describe a case of CCF resulting from aneurysmal rupture following PED placement, and present the details of treatment by transvenous coil embolization. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10523057173057
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http://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2017.10.023DOI Listing
April 2018
4 Reads

Post-traumatic carotid-cavernous fistula in a pediatric patient: a case-based literature review.

Childs Nerv Syst 2018 Mar 23;34(3):577-580. Epub 2017 Nov 23.

Department of Neurosurgery, School of Medicine, University of Sao Paulo, Rua Dr Eneas de Carvalho, Street Eneas de Carvalho, 155, Pinheiros, Sao Paulo, SP, Brazil.

Background: Carotid-cavernous fistula (CCF) is a shunt between the carotid artery and the cavernous sinus. Traumatic CCFs are diagnosed in 0.2% of head traumas being only 4. Read More

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http://dx.doi.org/10.1007/s00381-017-3668-7DOI Listing
March 2018
9 Reads

Primary intraventricular haemorrhage due to rupture of giant varix of the basal vein of Rosenthal in a patient with long-standing direct CCF: angiographic features and treatment considerations.

BMJ Case Rep 2017 Nov 16;2017. Epub 2017 Nov 16.

Imaging Sciences & Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Direct carotid cavernous fistulae (CCF) are often detected early and treated promptly resulting in a paucity of literature regarding its long-term evolution. We present a case of high flow post-traumatic direct CCF that was neglected for over 6 years and presented with a rare manifestation of primary intraventricular haemorrhage. Occlusions of the primary venous outlets likely resulted in engorgement of the deep venous system. Read More

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http://dx.doi.org/10.1136/bcr-2017-013396DOI Listing
November 2017
6 Reads

Superior Ophthalmic Vein Access for Embolization of an Indirect Carotid Cavernous Fistula.

Cureus 2017 Sep 1;9(9):e1639. Epub 2017 Sep 1.

Department of Radiology, Baylor University Medical Center.

Carotid cavernous fistulae (CCF) are defined as abnormal connections between the carotid circulation and cavernous sinus. CCFs can be categorized as being direct or indirect. Direct CCFs are usually associated with trauma, whereas indirect CCFs are associated with revascularization following cavernous sinus thrombosis. Read More

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http://dx.doi.org/10.7759/cureus.1639DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665693PMC
September 2017
10 Reads

Carotid-cavernous fistula: current concepts in aetiology, investigation, and management.

Eye (Lond) 2018 02 3;32(2):164-172. Epub 2017 Nov 3.

Division of Neuro-Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.

A carotid-cavernous fistula (CCF) is an abnormal communication between arteries and veins within the cavernous sinus and may be classified as either direct or dural. Direct CCFs are characterized by a direct connection between the internal carotid artery (ICA) and the cavernous sinus, whereas dural CCFs result from an indirect connection involving cavernous arterial branches and the cavernous sinus. Direct CCFs frequently are traumatic in origin and also may be caused by rupture of an ICA aneurysm within the cavernous sinus, Ehlers-Danlos syndrome type IV, or iatrogenic intervention. Read More

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http://dx.doi.org/10.1038/eye.2017.240DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811734PMC
February 2018
6 Reads

Bilateral carotid cavernous sinus fistula: a case report and review of the literature.

J Neurol 2018 Mar 2;265(3):453-459. Epub 2017 Nov 2.

UBC Department of Neuro-ophthalmology, Vancouver General Hospital, Eye Care Centre; Section K, Vancouver, BC, V5Z 3N9, Canada.

Carotid cavernous fistula (CCF) is an abnormal vascular shunt from the carotid artery to the cavernous sinus. They are commonly classified based on hemodynamics, etiology or anatomically. Hemodynamic classification refers to whether the fistula is high or low flow. Read More

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http://dx.doi.org/10.1007/s00415-017-8657-yDOI Listing
March 2018
2 Reads

Indirect carotid cavernous fistula mimicking ocular myasthenia.

BMJ Case Rep 2017 Oct 19;2017. Epub 2017 Oct 19.

Department of Neurointerventional Surgery, Christiana Care Health Center, Newark, Delaware, USA.

71-year-old woman with progressive left-sided, monocular diplopia and ptosis. Her symptoms mimicked ocular myasthenia, but she had an indirect carotid cavernous fistula (CCF). She was diagnosed with monocular myasthenia gravis (negative acetylcholinesterase antibody) after a positive ice test and started on Mestinon and underwent a thymectomy complicated by a brachial plexus injury. Read More

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http://dx.doi.org/10.1136/bcr-2017-222048DOI Listing
October 2017
2 Reads

Recurrence risk factors in detachable balloon embolization of traumatic direct carotid cavernous fistulas in 188 patients.

J Neurointerv Surg 2018 Jul 11;10(7):704-707. Epub 2017 Oct 11.

Interventional Department, Henan Provincial People's Hospital and Zhengzhou University People's Hospital, Zhengzhou, China.

Purpose: To investigate the effects of detachable balloons in embolizing traumatic carotid cavernous fistulas (TCCFs) and the risk factors for recurrence after balloon embolization.

Materials And Methods: 188 patients with TCCFs were enrolled, and clinical, treatment, and follow-up data were analyzed for possible risk factors for recurrence after embolization.

Results: Among 188 patients, 182 (96. Read More

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http://dx.doi.org/10.1136/neurintsurg-2017-013384DOI Listing
July 2018
2 Reads

A Case of Pseudoaneurysm of the Internal Carotid Artery Following Endoscopic Endonasal Pituitary Surgery: Endovascular Treatment with Flow-Diverting Stent Implantation.

Acta Medica (Hradec Kralove) 2017;60(2):89-92

Department of Neurosurgery, Saglik Bilimleri University, Tepecik Research and Training Hospital, Izmir, Turkey.

Internal carotid artery (ICA) pseudoaneurysm is a rare complication of endoscopic endonasal surgery occurring in 0.4-1.1% of cases. Read More

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http://dx.doi.org/10.14712/18059694.2017.100DOI Listing
June 2018
11 Reads

Embolization of a cavernous carotid fistula through the vein of Labbé: a new alternative transvenous access route.

BMJ Case Rep 2017 Sep 28;2017. Epub 2017 Sep 28.

Department of Neurosurgery, Huntington Memorial Hospital, Pasadena, California, USA.

Endovascular treatment of carotid cavernous fistulas (CCFs) via a transvenous approach is standard, but in rare cases this approach is challenging due to absence or thrombosis of the commonly used venous routes. A 61-year-old woman presented with a symptomatic CCF with all but one of the venous access routes to the CCF thrombosed, leaving an engorged superficial middle cerebral vein (SMCV) as the only venous outflow from the cavernous sinus. Access to the CCF was made possible after careful navigation of the sigmoid sinus, the vein of Labbé and the SMCV, bypassing the need for surgical access to the SMCV or for a direct transorbital puncture. Read More

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http://dx.doi.org/10.1136/bcr-2017-013229DOI Listing
September 2017
15 Reads