2,087 results match your criteria Carotid-Cavernous Fistula
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
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
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
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.
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
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
Neurosurgery 2018 Nov 10. Epub 2018 Nov 10.
Departments of Radiology and Neurosurgery, Columbia University College of Physicians & Surgeons, New York, New York.
Background: Endovascular surgery is the first-line treatment for indirect cavernous carotid fistulae (CCFs). This study compares multiple treatment techniques.
Objective: To compare endovascular techniques for indirect CCF treatment. Read More
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
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
World Neurosurg 2018 Nov 1. Epub 2018 Nov 1.
Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
Background: Vascular Ehlers-Danlos syndrome (vEDS) is a vascular disease associated with a genetic collagen abnormality. It is characterized by vessel fragility, vessel rupture, and massive hemorrhage. Carotid-cavernous fistula (CCF) is the most frequent neurovascular complication of vEDS. Read More
Interv Neuroradiol 2018 Oct 31:1591019918808468. Epub 2018 Oct 31.
Duke University Medical Center, Department of Neurosurgery, Durham, USA.
Direct carotid-cavernous fistulas (CCFs) are high flow lesions that can be challenging to treat. A number of recent reports suggest that flow diversion may be a viable treatment option. We present a case of a post-traumatic CCF successfully treated with flow diversion and provide a review of the literature. Read More
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.
World Neurosurg 2018 Oct 21. Epub 2018 Oct 21.
Department of Neurosurgery, West China Hospital, Sichuan University, Sichuan, People's Republic of China. Electronic address:
Background: The purpose of the present study was to describe our single-institutional experience of treating direct carotid-cavernous fistulas (DCCFs) with Willis covered stents (WCSs).
Methods: Of a total of 31 DCCFs, 10 were treated with WCSs (Microport, Shanghai, China) at West China Hospital from January 2015 to December 2016. The indications for treatment, perioperative findings, and postoperative and follow-up results were collected and analyzed. Read More
Asian J Neurosurg 2018 Jul-Sep;13(3):817-821
Department of Neurosurgery, University of Cartagena, Cartagena de Indias, Colombia.
Persistent primitive trigeminal artery (PPTA), a fetal carotid-basilar anastomosis, is the most common embryological vascular remnant persisting into adult age. However, reported cases associated with cerebral aneurysms are rare. A 33-year-old female presented with an extremely rare PPTA-basilar artery (PPTA-BA) aneurysm manifesting as subarachnoid hemorrhage. Read More
Asian J Neurosurg 2018 Jul-Sep;13(3):742-748
Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Background: Nonmissile anterior skull-base penetrating brain injuries (NASBPBIs) have specific characteristic features that are different from missile injuries. Our study presents our experiences on the characteristic features as well as management of NASBPBI.
Materials And Methods: We retrospectively reviewed 22 consecutive patients with NASBPBI managed at our institute during a 13-year period. Read More
World Neurosurg 2018 Sep 28. Epub 2018 Sep 28.
Department of Neurosurgery, Waikato Hospital, Hamilton, New Zealand.
Background: Vertebral-venous fistulas (VVF) are a rare vascular condition and are commonly associated with trauma, but may also be idiopathic, spontaneous or congenital. A current literature review reveals there is no level 1 evidence or established guidelines on optimal treatment for VVF. Diagnosis is often confirmed by catheter cerebral angiogram. Read More
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
J Binocul Vis Ocul Motil 2018 Jan-Mar;68(1):20-23. Epub 2018 Jan 17.
a Department of Ophthalmology and Visual Neurosciences , University of Minnesota , Minneapolis , Minnesota.
Acquired ophthalmoplegia can represent a harbinger of vision and life-threatening disease. Recognition of select clinical "red flags" on history or examination can facilitate early diagnosis. This article reviews relevant clinical pearls for the detection of dire causes of acquired ophthalmoplegia in adults including myasthenia gravis, carotid cavernous fistula, giant cell arteritis, and thiamine deficiency. Read More
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
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
Clin Exp Ophthalmol 2018 Aug 31. Epub 2018 Aug 31.
South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
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
Front Neurol 2018 2;9:619. Epub 2018 Aug 2.
Dino Ferrari Centre, Neuroscience Section, Neurology Unit, Department of Pathophysiology and Transplantation, University of Milan, IRCCS Foundation Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Bilateral cavernous carotid aneurysms (CCAs) represent a rare medical condition that can mimic other disorders. We present a rare case of bilateral CCAs simulating an ocular myasthenia. A 76-year-old woman presented with a history of fluctuating bilateral diplopia and unilateral ptosis, which led to the suspicion of ocular myasthenia. Read More
Eur Neurol 2018 8;80(1-2):17-18. Epub 2018 Aug 8.
Department of Neurology, China Medical University Hospital, Taichung,
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
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
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
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
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
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
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
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
Neuroophthalmology 2018 Jun 14;42(3):182-186. Epub 2017 Sep 14.
Department of Ophthalmology, University and Polytechnic Hospital La Fe, Valencia, Spain.
Arteriovenous fistulas (AVFs) are abnormal shunts between the arterial and venous vascular systems. These usually produce ocular pain, increased intraocular pressure (IOP), and diplopia. Less frequently, they may cause retinal changes with visual impairment. Read More
Eye (Lond) 2018 Oct 22;32(10):1676. Epub 2018 May 22.
Division of Neuro-Ophthalmology, Wilmer Eye Institute, Johns Hopkins School of Medicine, Baltimore, MD, USA.
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
Am J Ophthalmol Case Rep 2018 Jun 14;10:285-287. Epub 2018 Apr 14.
West Virginia University, 1 Stadium Drive, Morgantown, WV, USA.
Purpose: Carotid cavernous sinus ectasia is a rare cause of abducens nerve palsy.
Observation: We present a case of severe unilateral progressive esotropia resulting from cavernous sinus carotid vascular ectasia in a 67 y/o female. She had progressive esotropia over the years with no neuroimaging despite having regular ophthalmic care. Read More
Eye (Lond) 2018 Oct 18;32(10):1675-1680. Epub 2018 May 18.
Leeds Teaching Hospitals NHSFT, Leeds, UK.
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
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
Neurol Med Chir (Tokyo) 2018 May 1;58(5):219-224. Epub 2018 May 1.
Department of Neurosurgery and Endovascular Neurosurgery, Osaka Medical College.
A 48-year-old female with a symptomatic giant carotid cavernous aneurysm underwent endovascular treatment with multiple Pipeline Flex embolic devices (PED). The delivery catheter had to take a complicated course of multiple turns to cross the aneurysm, and its loop was tied in the aneurysm. When the catheter was to be withdrawn, it was apparent that the tied catheter had made a tight knot that bound the tail of the previous PED together. Read More
Clin Neurol Neurosurg 2018 Jun 14;169:154-160. Epub 2018 Apr 14.
Department of Neurosurgery, University of Kansas Medical Center, Mail Stop 3021, Kansas City, KS, 66160, USA.
Objective: Intracranial traumatic pseudoaneurysms (PSA) are a rare but dangerous subtype of cerebral aneurysm. Reports documenting use of flow-diverting stents to treat traumatic intracranial PSAs are few and lack long-term follow-up. To our knowledge, this is the largest case-series to date demonstrating use of Pipeline Endovascular Device (PED) for traumatic intracranial PSAs. Read More
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
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
Int Ophthalmol Clin 2018 ;58(2):271-294
Neuroradiology 2018 May 1;60(5):565-573. Epub 2018 Mar 1.
Department of Neurosurgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 150, Seongan-ro, Gangdong-gu, Seoul, 134-701, Republic of Korea.
Purpose: A complicated course of the femoral route for neurointervention can prevent approaching the target. Thus, we determined whether transcervical access in the hybrid angiosuite is applicable and beneficial in real practice.
Methods: From January 2014 to March 2017, this approach was used in 17 of 453 (3. Read More
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
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.
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
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