2,481 results match your criteria Carotid-Cavernous Fistula


[The Skin Findings Associated with Neurotrauma].

Authors:
Shigeru Oya

Brain Nerve 2019 Apr;71(4):309-315

Department of Neurosurgery, Asahi General Hospital.

Head trauma is a common condition, but often, serious pathological conditions associated with it are hidden. Skin findings in child abuse cases, such as skull base fracture, battle signs, raccoon eye, open head injury, penetrating wounds, traumatic aneurysm of the superficial temporal artery, traumatic carotid cavernous sinus fistula, and fat embolism have been presented in this paper. It is necessary to observe and record skin findings at the time of consultation and to listen to the detailed medical history that resulted in such an injury. Read More

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http://dx.doi.org/10.11477/mf.1416201267DOI Listing

Trans-superior ophthalmic vein approach for treatment of carotid-cavernous fistula.

Neurosurg Focus 2019 Apr;46(Suppl_2):V4

1Department of Neurosurgery, Baylor College of Medicine, Houston, Texas; and.

The authors present a case of a patient with a Barrow Type B carotid-cavernous fistula (CCF) who presented with severe symptoms of eye redness, diplopia, and proptosis. Due to the tortuosity and size of her angular vein and the lack of good flow/access via the inferior petrosal sinus, she was treated with a transvenous approach via a large, dilated superior ophthalmic vein for coil embolization of the CCF. The patient had a full angiographic and symptomatic cure. Read More

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http://dx.doi.org/10.3171/2019.4.FocusVid.18496DOI Listing
April 2019
1 Read

Spontaneous Carotid Cavernous Fistula in Young Female with Anti-thrombin III Deficiency.

Asian J Neurosurg 2019 Jan-Mar;14(1):266-268

Department of General Medicine, MES Medical College, Malappuram, Kerala, India.

A 27-year-old female patient presented with headache, vomiting, and visual disturbances who was evaluated and detected to have a direct carotid cavernous fistula (CCF). Secondary causes were ruled out, and she was treated with coil occlusion and glue injection. A month after almost complete clinical recovery, she developed deep vein thrombosis of left thigh. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_252_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417300PMC
April 2019
4 Reads

Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis.

BMJ Case Rep 2019 Mar 31;12(3). Epub 2019 Mar 31.

Radiodiagnosis, JIPMER, Puducherry, India.

A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3 days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. Read More

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http://dx.doi.org/10.1136/bcr-2018-227757DOI Listing
March 2019
1 Read

[Preliminary application of one-step hybrid operation in the treatment of carotid artery occlusion].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(12):943-946

Department of Surgery, the First Affiliated Hospital of Soochow University, Suzhou 215006, China.

To evaluate the prognosis and surgical complication of the recanalization treatments for internal carotid artery (ICA) occlusion by using one-step hybrid carotid endarterectomy and endovascular surgery. Retrospective analysis was performed on the clinical data and follow-up data of 22 patients with occluded ICA treated by one-step hybrid surgery. Difference in Barthel score and occurrence of ischemic stroke were compared with surgical group and conventional group which was treated by oral taking anti-platelet drugs. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.12.013DOI Listing

Dural arteriovenous fistulas with venous drainage patterns inducing ocular manifestations mimicking a carotid cavernous fistula: Report of 2 cases.

World Neurosurg 2019 Mar 22. Epub 2019 Mar 22.

Division of Vascular and Endovascular Neurosurgery, Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.

Cranial dural arteriovenous fistulas (dAVFs) are abnormal connections between arteries supplying the dura mater and the cranial venous system. They present with various signs and symptoms. Progressive ocular manifestations are quite rare and may be confused with carotid cavernous fistulas (CCF). Read More

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http://dx.doi.org/10.1016/j.wneu.2019.03.136DOI Listing
March 2019
1 Read

Clinical classification and individualized design for the treatment of basicranial artery injuries.

Medicine (Baltimore) 2019 Mar;98(11):e14732

Department of Neurosurgery, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.

This study aims to explore the principles of clinical classification and individualized treatment of basicranial artery injuries based on its anatomical correlation.The data of 172 patients with various types of basicranial artery injuries were retrospectively analyzed. Among these patients, 128 patients were male and 44 patients were female, and the average age of these patients was 28. Read More

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http://dx.doi.org/10.1097/MD.0000000000014732DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426552PMC
March 2019
1 Read
5.723 Impact Factor

Imaging-Guided Superior Ophthalmic Vein Access for Embolization of Dural Carotid Cavernous Fistulas: Report of 20 Cases and Review of the Literature.

AJNR Am J Neuroradiol 2019 Apr 7;40(4):699-702. Epub 2019 Mar 7.

From the Department of Radiology (M.K.S.H., D.V., J.R.S.), University of British Columbia, Vancouver, British Columbia, Canada.

Dural carotid cavernous fistulas are usually treated via a transvenous approach through the inferior petrosal sinus. Surgical exposure and direct access to the superior ophthalmic vein have been previously described in situations in which conventional transvenous access, including the inferior petrosal sinus, is not possible. In this retrospective study of 20 patients, we report our results of imaging-guided percutaneous superior ophthalmic vein access in dural carotid cavernous fistula treatment. Read More

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http://dx.doi.org/10.3174/ajnr.A5994DOI Listing

Intraorbital Arteriovenous Fistula From the Superficial Temporal Artery.

Ophthalmic Plast Reconstr Surg 2019 Mar 5. Epub 2019 Mar 5.

Department of Ophthalmology, Cullen Eye Institute, Baylor College of Medicine, Houston, Texas.

Intraorbital arteriovenous fistula is a rare vascular disease characterized by an acquired arteriovenous communication without direct cavernous sinus involvement. Intraorbital arteriovenous fistula may develop slowly and present similarly to other insidious orbitopathies, such as carotid-cavernous fistula. The authors present a case of a superficial temporal artery to superior ophthalmic vein fistula arising in the absence of trauma or prior surgery. Read More

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http://dx.doi.org/10.1097/IOP.0000000000001342DOI Listing
March 2019
6 Reads

Delayed contralateral traumatic carotid cavernous fistula after craniomaxillofacial fractures.

Arch Craniofac Surg 2019 Feb 20;20(1):44-47. Epub 2019 Feb 20.

Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

A carotid-cavernous sinus fistula is a rare condition in which an abnormal communication exists between the internal or external carotid artery and the cavernous sinus. It typically occurs within a few weeks after craniomaxillofacial trauma. In most cases, the carotid-cavernous sinus fistula occurs on the same side as the craniomaxillofacial fracture. Read More

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http://dx.doi.org/10.7181/acfs.2018.02215DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411523PMC
February 2019
2 Reads

Atypical manifestation of a direct low flow carotid-cavernous fistula: case report and review of the literature.

World Neurosurg 2019 Feb 25. Epub 2019 Feb 25.

Department of Neurology and Psychiatry, Neurosurgery, 'Sapienza' University of Rome, Rome, Italy.

Introduction: Carotid Cavernous Fistulas (CCFs) are a rare type of arteriovenous shunt that develop within the cavernous sinus (CS). Direct CCFs entails a direct communication between the cavernous internal carotid artery (cICA) and the CS and are typically high flow lesion. Most CCFs drains into the ophthalmic veins (typical venous drainage pattern), leading to the pathognomic ocular clinical triad associated with a CCF. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.027DOI Listing
February 2019
3 Reads

Matricidal cavernous aneurysms: a multicenter case series.

J Neurointerv Surg 2019 Feb 27. Epub 2019 Feb 27.

University of Tennessee Health Science Center Department of Neurosurgery, Memphis, Tennessee, USA.

Background: Cavernous carotid artery aneurysms (CCAs) represent a unique subset of intracranial aneurysms due to their distinct natural history and the anatomy of the cavernous sinus. Enlarging CCAs can cause elastic compression of the parent internal carotid artery (ICA). We suggest defining aneurysms that cause luminal stenosis of their parent vessels as 'matricidal aneurysms. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014562DOI Listing
February 2019
1 Read

XCalibur aneurysm occlusion device for the treatment of direct carotid cavernous fistula: expansion of armamentarium.

BMJ Case Rep 2019 Feb 18;12(2). Epub 2019 Feb 18.

Department of Neuroimaging and Interventional Radiology, National Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.

We report the first case of a post-traumatic direct carotid cavernous fistula (CCF) treated with the XCalibur aneurysm occlusion device, which is a balloon mounted stent with flow diversion effect. Two devices were deployed across the fistula in an overlapping manner, resulting in complete occlusion of the fistula. Flow diversion with this device can provide a safe and alternative treatment option in direct CCF. Read More

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http://dx.doi.org/10.1136/bcr-2018-014475DOI Listing
February 2019
1 Read

Relationship of clinical presentation and angiographic findings in patients with indirect cavernous carotid fistulae.

J Neurointerv Surg 2019 Feb 18. Epub 2019 Feb 18.

Radiology and Neurological Surgery, Columbia University, New York, USA.

Introduction: Indirect cavernous carotid fistulae (ICCFs) can present with insidious, non-specific symptoms and prove difficult to diagnose. This study evaluates associations among ICCF symptoms and angiographic findings.

Methods: A retrospective analysis was performed of prospectively maintained records at four medical centers to identify patients with ICCFs evaluated with angiography. Read More

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http://dx.doi.org/10.1136/neurintsurg-2018-014421DOI Listing
February 2019
1 Read

Primary Intraventricular Hemorrhage Isolated in Cerebral Aqueduct Secondary to Dural Arteriovenous Fistula.

J Vasc Interv Neurol 2018 Nov;10(2):59-61

Department of Neurology, University of Missouri, Columbia, MO, USA.

Objective: We report a case of dural arteriovenous fistula (dAVF) presenting as isolated cerebral aqueduct hemorrhage.

Result: A 73-year-old man with a history of hypertension and chronic alcoholism presented with altered mental status and gait difficulties, bilateral fronto-occipital headaches, and intermittent dizziness. He had bilateral upward gaze restriction. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350861PMC
November 2018
1 Read

Endovascular Treatment in Traumatic and Spontaneous Carotid Cavernous Fistulas: with Different Embolization Agents and via Various Vascular Routes.

J Vasc Interv Neurol 2018 Nov;10(2):18-24

Zafertepe District, Dogal Street, Kutahya, Turkey.

Purpose: We evaluated carotid cavernous fistula (CCF) cases which were treated with various vascular routes and different embolization agents. Our aim was to present endovascular treatment procedures, clinical and radiological findings, and to discuss the safety and clinical efficacy of the treatment.

Materials And Methods: The demographic information, presenting symptoms and clinical findings of 25 CCF cases in 23 patients treated with endovascular route were reviewed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6350871PMC
November 2018

Carotid-cavernous fistula(CCF) presenting as paroxysmal painful ophthalmoplegia.

BMC Ophthalmol 2019 Feb 11;19(1):48. Epub 2019 Feb 11.

Department of Neurology, Shandong Provincial Hospital affiliated to Shandong University, No 324, Jingwu Road, Huaiyin Zone, Jinan, Shandong Province, 250012, People's Republic of China.

Background: Painful ophthalmoplegia can be caused by various etiologies, and broad differential diagnosis is needed. Carotid-cavernous fistula (CCF) is a rare cause of painful ophthalmoplegia, and early diagnosis is quite difficult.

Case Presentation: Here, we present a case of paroxysmal painful ophthalmoplegia caused by CCF. Read More

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http://dx.doi.org/10.1186/s12886-019-1039-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371611PMC
February 2019
2 Reads

Isolated third nerve palsy with pupillary involvement resulting from carotid-cavernous sinus fistula: A case report.

Medicine (Baltimore) 2019 Feb;98(6):e14472

Department of Ophthalmology, Taipei City Hospital, Renai Branch, Taipei, Taiwan.

Rationale: Isolated third nerve palsy with pupillary involvement caused by a posterior drainage carotid-cavernous sinus fistula (CCF) is relatively rare. Diagnosis of a posterior drainage CCF can often be delayed due to its unapparent congestive signs.

Patient Concerns: Here, we present the case of a young male patient with right-sided CCF, who presented with right-side headache and partial third nerve palsy with pupillary involvement. Read More

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http://dx.doi.org/10.1097/MD.0000000000014472DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6380736PMC
February 2019
1 Read

[Carotid cavernous fistula with bilateral eye disorders].

Medicina (B Aires) 2019 ;79(1):74

Departamento de Cirugía, Servicio de Neurocirugía, Faculdade de Ciências Medicas da Santa Casa de São Paulo, São Paulo, SP, Brasil.

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January 2019

Objective Assessment of Arterial Steal Phenomenon in Direct Carotid Cavernous Fistula Using 2D Parametric Parenchymal Blood Flow Analysis.

Neurointervention 2019 Mar 29;14(1):63-67. Epub 2019 Jan 29.

Department of Neurosurgery, Rush University Medical Center, Chicago, IL, USA.

The aim of the study is to evaluate the hemodynamic changes and the parenchymal perfusion associated with carotid cavernous fistulas before and after embolization using two-dimensional (2D) parenchymal blood flow analysis. A 15-year-old boy presented with 2-month history of progressive right eye proptosis, chemosis, and diplopia after a motor vehicle accident. Intracranial liquid embolization using Onyx-18 through the inferior petrosal approach was done with balloon protection at the opening of the fistula in the internal carotid artery, resulting in complete occlusion of the fistula. Read More

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http://dx.doi.org/10.5469/neuroint.2018.01102DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433195PMC
March 2019
3 Reads

A modified endovascular treatment protocol for iatrogenic internal carotid artery injuries following endoscopic endonasal surgery.

J Neurosurg 2019 Jan 25:1-8. Epub 2019 Jan 25.

2Neurosurgery, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University.

OBJECTIVEInternal carotid artery (ICA) injuries during endoscopic endonasal surgery (EES) are catastrophic complications. Alongside the advancements in medical instrumentation and material, there is a need to modify previous treatment modalities and principles.METHODSA retrospective review of 3658 patients who underwent EES performed at the authors' institution between January 2012 and December 2017 was conducted. Read More

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http://dx.doi.org/10.3171/2018.8.JNS181048DOI Listing
January 2019
4 Reads
3.737 Impact Factor

Venous outflow restriction as a predictor of cavernous sinus dural arteriovenous fistula obliteration after Gamma Knife surgery.

J Neurosurg 2019 Jan 25:1-8. Epub 2019 Jan 25.

2Neurological Institute, Department of Neurosurgery, Taipei Veterans General Hospital; and.

OBJECTIVEGamma Knife surgery (GKS) obliterates 65%-87% of cavernous sinus dural arteriovenous fistulas (CSDAVFs). However, the hemodynamic effect on GKS outcomes is relatively unknown. The authors thus used the classification scheme developed by Suh et al. Read More

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http://dx.doi.org/10.3171/2018.9.JNS182040DOI Listing
January 2019
8 Reads

The Coexistence of Persistent Primitive Trigeminal Artery, Moyamoya Disease, And Multiple Intracranial Aneurysms: A Case Report And Literature Review.

World Neurosurg 2019 Jan 23. Epub 2019 Jan 23.

Department of Neurosurgery, The First Hospital of Jilin University, Changchun, 130021, China. Electronic address:

Background: Persistent primitive trigeminal artery (PPTA) is a rare abnormal carotid-basilar anastomosis. In rare circumstances, PPTA could be associated with some cerebrovascular anomalies including arteriovenous malformation, intracranial aneurysm, carotid cavernous fistula, and moyamoya disease (MMD).

Case Description: In this report, we would like to present an extremely rare case with simultaneous occurrence of PPTA, MMD, and multiple intracranial aneurysms. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.01.030DOI Listing
January 2019
4 Reads

Ruptured Carotid Cavernous Fistula Presenting with Headache and Raised Intraocular Pressure.

Ophthalmology 2019 Feb;126(2):204

Stein Eye Institute, Division of Orbital and Ophthalmic Plastic Surgery, University of California-Los Angeles, Los Angeles, California.

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https://linkinghub.elsevier.com/retrieve/pii/S01616420183314
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http://dx.doi.org/10.1016/j.ophtha.2018.12.010DOI Listing
February 2019
9 Reads

Cervical artery dissection: fibromuscular dysplasia versus vascular Ehlers-Danlos syndrome.

Blood Press 2019 04 9;28(2):139-143. Epub 2019 Jan 9.

a Division of Cardiology , Cliniques Universitaires Saint-Luc, Université Catholique de Louvain , Brussels , Belgium.

We report the case of a 42-year-old patient referred for suspicion of fibromuscular dysplasia in the context of a carotid artery dissection occurring after a minor trauma. Initial complaints included left hemicrania, lateral diplopia with left 6 cranial nerve palsy and pulsatile tinnitus. The work-up disclosed a large left carotid-cavernous fistula, as well as more proximal carotid lesions compatible with multifocal fibromuscular dysplasia. Read More

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https://www.tandfonline.com/doi/full/10.1080/08037051.2018.1
Publisher Site
http://dx.doi.org/10.1080/08037051.2018.1557507DOI Listing
April 2019
10 Reads

CTA-guided outflow-targeted embolization of direct carotid-cavernous fistula.

Neurosurg Focus 2019 Jan;46(Suppl_1):V11

1Chung Shan Medical University, Institute of Medicine, Taichung.

This video presents a case of new-onset visual blurring, diplopia, and conjunctival injection after head injury. CTA of the brain revealed a direct carotid-cavernous fistula (dCCF) of the right side. Careful evaluation of CTA source images revealed that the fistula point was at the ventromedial aspect of the right cavernous internal carotid artery (ICA), about 3. Read More

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http://dx.doi.org/10.3171/2019.1.FocusVid.18447DOI Listing
January 2019
4 Reads

Evaluation of stereotactic radiosurgery for cerebral dural arteriovenous fistulas in a multicenter international consortium.

J Neurosurg 2019 Jan 4:1-8. Epub 2019 Jan 4.

2Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia.

OBJECTIVEIn this multicenter study, the authors reviewed the results obtained in patients who underwent Gamma Knife radiosurgery (GKRS) for dural arteriovenous fistulas (dAVFs) and determined predictors of outcome.METHODSData from a cohort of 114 patients who underwent GKRS for cerebral dAVFs were compiled from the International Gamma Knife Research Foundation. Favorable outcome was defined as dAVF obliteration and no posttreatment hemorrhage or permanent symptomatic radiation-induced complications. Read More

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http://dx.doi.org/10.3171/2018.8.JNS181467DOI Listing
January 2019
4 Reads
3.737 Impact Factor

Bilateral blunt cerebrovascular injury resulting in direct carotid-cavernous fistulae: A case report and review of the literature.

Surg Neurol Int 2018 19;9:229. Epub 2018 Nov 19.

Department of Neurosurgery, Clinical Neurosciences Center, Salt Lake City, Utah, USA.

Background: Bilateral blunt cerebrovascular injury (BCVI) has been documented in 32 patients in the English-language literature and bilateral carotid-cavernous fistulae (CCFs) have been reported in only 1 patient. Here, we present a case of severe, unexpected bilateral BCVI with bilateral direct CCF and review the literature of BCVI, particularly cases of bilateral injury.

Case Description: A 65-year-old woman with episodic bradycardia presented after a motor vehicle accident. Read More

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http://dx.doi.org/10.4103/sni.sni_210_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262944PMC
November 2018
3 Reads

[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
3 Reads

Direct Carotid Cavernous Fistula Due to Rupture of a Cavernous Carotid Aneurysm Embedded Within a Prolactinoma After Cabergoline Administration.

World Neurosurg 2019 Feb 19;122:495-499. Epub 2018 Nov 19.

Department of Neurosurgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

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

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http://dx.doi.org/10.1016/j.wneu.2018.11.071DOI Listing
February 2019
13 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
14 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
13 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
23 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
11 Reads

Swollen and bloodshot eye following headache.

Am J Emerg Med 2019 Feb 7;37(2):378.e7-378.e9. 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
February 2019
17 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/
Publisher Site
http://dx.doi.org/10.1155/2018/6025274DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6205109PMC
October 2018
16 Reads

[The diagnosis and treatment of traumatic optic nerve neuropathy combined with carotid artery injury].

Zhonghua Yi Xue Za Zhi 2018 Oct;98(39):3183-3186

To discuss the diagnosis and treatment strategy of traumatic optic nerve neuropathy (TON) combined with carotid artery injury. Retrospective analyses were performed 397 cases of TON at Neurosurgery department of Beijing Tongren Hospital, Capital Medical University (CMU), from January 2016 to December 2017.The clinical experience was concluded. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.39.011DOI Listing
October 2018
11 Reads

Selective Shunt Occlusion of Direct Carotid-Cavernous Fistula with Vascular Ehlers-Danlos Syndrome by Multidevice Technique: A Case Report and Technical Note.

World Neurosurg 2019 Feb 2;122:123-128. Epub 2018 Nov 2.

Department of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, 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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183245
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http://dx.doi.org/10.1016/j.wneu.2018.10.158DOI Listing
February 2019
12 Reads

Treatment of direct carotid-cavernous fistulas with flow diversion - does it work?

Interv Neuroradiol 2019 Apr 31;25(2):135-138. 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

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http://dx.doi.org/10.1177/1591019918808468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448386PMC
April 2019
2 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
12 Reads

Application of the Willis Covered Stent in the Treatment of Carotid-Cavernous Fistula: A Single-Center Experience.

World Neurosurg 2019 Feb 21;122:e390-e398. 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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183235
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http://dx.doi.org/10.1016/j.wneu.2018.10.060DOI Listing
February 2019
28 Reads

Delayed intranasal coil extrusion after internal carotid artery pseudoaneurysm embolization.

Interv Neuroradiol 2019 Apr 9;25(2):139-143. Epub 2018 Oct 9.

2 Neurosurgery Department, UH St Ivan Rilski, Sofia, Bulgaria.

Internal carotid artery (ICA) injury is a rare but potentially life-threatening complication of skull base and neck surgery. Although usually manifested by massive intraoperative haemorrhage, impairment of the ICA might go unnoticed and result in formation of a pseudoaneurysm, causing delayed bleeding. Often additional complications are observed such as thrombosis, spasm, embolism or carotico-cavernous fistula formation. Read More

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http://journals.sagepub.com/doi/10.1177/1591019918805151
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http://dx.doi.org/10.1177/1591019918805151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6448381PMC
April 2019
7 Reads

Nonmissile Anterior Skull-Base Penetrating Brain Injury: Experience with 22 Patients.

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

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http://dx.doi.org/10.4103/ajns.AJNS_36_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159019PMC
October 2018
6 Reads

Endovascular Treatment of Vertebral-Venous Fistula with Flow-Diverting Stent.

World Neurosurg 2019 Jan 28;121:33-36. Epub 2018 Sep 28.

Department of Neurosurgery, Waikato Hospital, Hamilton, New Zealand.

Background: Vertebral-venous fistulas (VVFs) 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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183221
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http://dx.doi.org/10.1016/j.wneu.2018.09.168DOI Listing
January 2019
15 Reads

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

Interv Neuroradiol 2019 Feb 23;25(1):71-89. 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378520PMC
February 2019
14 Reads

Red Flags in the Assessment of Adult Ophthalmoplegia.

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

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http://dx.doi.org/10.1080/2576117X.2017.1420134DOI Listing
January 2018
2 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
5 Reads