2,582 results match your criteria Carotid-Cavernous Fistula


Differentiation of dural arteriovenous fistula from reflux venous flow on 3D TOF-MR angiography: identifying asymmetric enlargement of external carotid artery branches.

Clin Radiol 2020 Jun 23. Epub 2020 Jun 23.

Department of Neurology, Hanyang University Hospital, Hanyang University College of Medicine, Seoul, Republic of Korea.

Aim: To differentiate dural arteriovenous fistula (DAVF) from reflux venous flow (RVF) by assessment of asymmetric enlargement of external carotid artery (ECA) branches on three-dimensional (3D) time-of-flight magnetic resonance angiography (TOF-MRA).

Materials And Methods: Nineteen patients with DAVF and 27 patients with RVF were included from September 2007 to April 2019. The locations of DAVF were the cavernous (n=9) and sigmoid-transverse (n=6) sinuses, and the jugular (n=3) and sphenoparietal (n=1) veins. Read More

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http://dx.doi.org/10.1016/j.crad.2020.05.016DOI Listing

Cavernous sinus lesions.

Clin Imaging 2020 Jun 18;68:71-89. Epub 2020 Jun 18.

NYU Langone Health, Department of Radiology, New York, NY, United States of America. Electronic address:

The cavernous sinus is a complex structure susceptible to a wide variety of vascular, neoplastic and inflammatory pathologies. Vascular pathologies include ICA aneurysms, carotid-cavernous fistulas, cavernous sinus thrombosis, and cavernous hemangioma. Neoplasms that involve the cavernous sinus include pituitary adenoma, meningioma, schwannoma, lymphoma, perineural tumor spread, metastases, and direct tumor invasion. Read More

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http://dx.doi.org/10.1016/j.clinimag.2020.06.029DOI Listing

Transvenous embolization of bilateral indirect carotid-cavernous fistulas via a unilateral transorbital approach.

Orbit 2020 Jun 19:1-6. Epub 2020 Jun 19.

Department of Neurological Surgery, Tulane University , New Orleans, USA.

A 73-year-old man with a complex ophthalmologic history presented with several weeks of worsening diplopia, visual acuity, and proptosis bilaterally. Cerebral angiography demonstrated bilateral indirect Barrow type B carotid-cavernous fistulas (CCFs). Transarterial embolization was not attempted due to small arterial diameter and risk of stroke. Read More

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http://dx.doi.org/10.1080/01676830.2020.1779753DOI Listing

Delayed Spontaneous Thrombosis of Neglected Direct Carotid-Cavernous Fistula: A Case Report.

Neurointervention 2020 Jul 19;15(2):96-100. Epub 2020 Jun 19.

Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India.

Direct carotid-cavernous fistula (CCF) refers to direct communication between the cavernous portion of the internal carotid artery (ICA) and the cavernous sinus due to rent in the ICA, most commonly secondary to trauma. These are generally high-flow fistula and rarely resolve spontaneously. We report a case of a young male who developed features of direct CCF after trauma, was denied any treatment for 4 years, and then presented with spontaneous thrombosis of the fistula and a residual large pseudoaneurysm of the cavernous segment of the right ICA, which was subsequently managed with parent vessel occlusion. Read More

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http://dx.doi.org/10.5469/neuroint.2020.00094DOI Listing

Transvenous Embolization of Carotid Cavernous Fistula through Inferior Petrosal Sinus with Detachable Coils and Ethylene Vinyl Alcohol Copolymer.

J Vis Exp 2020 May 21(159). Epub 2020 May 21.

Brain Center, Zhejiang Hospital;

Carotid cavernous fistula (CCF) is a rare disease caused by abnormal communications between the internal carotid artery (direct fistula) or meningeal branches of the external carotid artery (indirect fistula) and the cavernous sinus (CS). Trauma is the most common cause of CCF. The clinical presentation of CCF is closely related to the venous drainage pattern. Read More

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http://dx.doi.org/10.3791/59435DOI Listing

Transvenous embolization of indirect carotid-cavernous fistula via puncture of the cubital vein and distal radial artery.

Radiol Case Rep 2020 Jul 23;15(7):1103-1109. Epub 2020 May 23.

Moscow Regional Research and Clinical Institute Named After M.F. Vladimirskiy, Shepkina str., 61/2, Moscow 129110, Russian Federation.

Carotid-cavernous fistula (CCF) is a pathologic communication between carotid arteries and cavernous sinus. The goal of endovascular treatment is to completely interrupt the carotid-cavernous communication with preserving normal blood flow in carotid arteries. Embolization can be performed via transarterial or transvenous access depending on anatomy and angioarchitecture of fistula. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.04.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7251543PMC

Endovascular Treatment of a Direct Carotid Cavernous Sinus Fistula with the Woven EndoBridge Aneurysm Embolization System.

Clin Neuroradiol 2020 May 30. Epub 2020 May 30.

Institute for diagnostic and interventional Radiology and Neuroradiology, Helios HSK Wiesbaden, Wiesbaden, Germany.

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http://dx.doi.org/10.1007/s00062-020-00914-1DOI Listing

Access Through the Anatomical Snuffbox for Neuroendovascular Procedures: A Single Institution Series.

Oper Neurosurg (Hagerstown) 2020 May 25. Epub 2020 May 25.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Background: Distal transradial catheterization in the anatomic snuffbox is an alternate route of access that has started to gain consideration for neuroendovascular procedures.

Objective: To assess the feasibility and outcomes and present our institution's experience in performing neuroendovascular procedures via distal transradial access (dTRA).

Methods: We conducted a retrospective analysis and identified 120 patients who underwent consecutive neuroendovascular procedures via dTRA in the anatomic snuffbox. Read More

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http://dx.doi.org/10.1093/ons/opaa141DOI Listing

Surgical Sparing and Pairing Endovascular Interventions for Carotid-Cavernous Fistula: Case Series and Review of the Literature.

World Neurosurg 2020 May 11;140:18-25. Epub 2020 May 11.

Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Carotid-cavernous fistulas (CCFs) are abnormal communications between the arterial and venous circulation within the cavernous sinus, manifesting in myriad neurological and ophthalmological sequalae. In rare circumstances patients' unique vascular anatomies preclude standard endovascular treatment for this pathology, warranting combined surgical and endovascular approaches wherein the cavernous sinus is accessed via superior ophthalmic vein (SOV) exposure, cutdown, and cannulation.

Case Description: We describe 3 cases of CCF treated at our quaternary neurovascular referral center between 2017 and 2019. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.05.013DOI Listing

Endovascular treatment for spontaneous carotid cavernous sinus fistula caused by fibromuscular dysplasia: A rare case report and literature review.

Clin Neurol Neurosurg 2020 May 4;195:105882. Epub 2020 May 4.

Department of Interventional Neuroradiology, Tiantan Hospital, Capital Medical University, Beijing, China. Electronic address:

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http://dx.doi.org/10.1016/j.clineuro.2020.105882DOI Listing
May 2020
1.248 Impact Factor

Endovascular treatment of the cavernous sinus dural arteriovenous fistula: current status and considerations.

Int J Med Sci 2020 1;17(8):1121-1130. Epub 2020 May 1.

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

A cavernous sinus dural arteriovenous fistula (CS-DAVF) is an abnormal arteriovenous communication involving the dura mater within or near the CS wall. The dural arteries from the internal carotid artery and external carotid artery supply the CS-DAVF, and the superior ophthalmic vein (SOV) and inferior petrous sinus (IPS) are frequent venous drainers. In CS-DAVF cases, high-risk lesions require treatment. Read More

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http://dx.doi.org/10.7150/ijms.45210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211155PMC

Transradial access for diagnostic angiography and interventional neuroradiology procedures: A four-year single-center experience.

Interv Neuroradiol 2020 May 14:1591019920925711. Epub 2020 May 14.

Department of Interventional Neuroradiology, Hospital Universitari de Bellvitge, Fundació Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

Purpose: The objective of this study was to assess the efficacy and safety of transradial access for diagnostic angiography and interventional neuroradiology procedures.

Methods: This was a retrospective analysis of a single-center experience based on 225 patients attended between August 2015 and October 2019, in which transradial access was used for diagnostic angiography and endovascular interventions. Ultrasound-guided access was done at the level of the forearm or anatomical or snuffbox (distal transradial access). Read More

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http://dx.doi.org/10.1177/1591019920925711DOI Listing

Exophthalmos following mechanical thrombectomy for anterior circulation stroke: A retrospective study and review of literature.

Interv Neuroradiol 2020 May 14:1591019920926079. Epub 2020 May 14.

Department of Radiology, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.

Background: Anecdotal cases of exophthalmos after acute mechanical thrombectomy have been described. We sought to estimate the incidence in a large cohort of patients with acute anterior circulation stroke treated with mechanical thrombectomy. Secondarily, we aimed to evaluate the underlying mechanism and to differentiate it on imaging from other pathology with similar clinical orbital features. Read More

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http://dx.doi.org/10.1177/1591019920926079DOI Listing

The Methods of Reserving Integrity of Seriously Damaged Cavernous Carotid in the Management of Traumatic Carotid-Cavernous Fistula.

J Craniofac Surg 2020 May 8. Epub 2020 May 8.

Department of Neurosurgery, The First Affiliated Hospital of Shandong First Medical University.

Background: The A type of carotid-cavernous fistulas (CCF-A) is characterized by direct communication between the internal carotid artery (ICA) with a very low incidence. But it severely endangers the health and even the life of patients, not only causes insufferable symptoms but also can induce fatal epistaxis, intracranial hemorrhages or even death. So, this disease needs therapy as early as possible. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006491DOI Listing

Iatrogenic Direct Carotid-cavernous Fistula Following Mechanical Thrombectomy: A Case Report and Review of the Literature.

Cureus 2020 Apr 3;12(4):e7524. Epub 2020 Apr 3.

Neurological Surgery, University of Miami Miller School of Medicine, Miami, USA.

A carotid-cavernous fistula (CCF) is an abnormal connection between the arteries and veins of the cavernous sinus. Iatrogenic CCFs have been described as potential complications following aneurysm coiling, balloon angioplasty, and transsphenoidal surgery. In this case report, we describe a rare case of an iatrogenic direct CCF following mechanical thrombectomy (MT) for acute ischemic stroke. Read More

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http://dx.doi.org/10.7759/cureus.7524DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198104PMC

Hemicranial Cough-Induced Headache as a First Symptom of a Carotid-Cavernous Fistula-Case Report.

Medicina (Kaunas) 2020 Apr 23;56(4). Epub 2020 Apr 23.

Faculty of Technical Sciences, University of Novi Sad, TrgDositejaObradovića 6, 21000 Novi Sad, Serbia.

Spontaneous carotid-cavernous fistulas (CCFs) are rare, and they may be caused by an aneurysm rupture. A case of a man hospitalized for high-intensity hemicranial headache with sudden cough onset as part of an upper respiratory tract infection is presented. The pain was of a pulsating character, localized on the right, behind the eye, followed by nausea and vomiting. Read More

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http://dx.doi.org/10.3390/medicina56040194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230325PMC

Embolization of carotid-cavernous fistulas: A technical note on simultaneous balloon protection of the internal carotid artery.

J Clin Neurosci 2020 Apr 21. Epub 2020 Apr 21.

Department of Neurosurgery, The University of Texas Health Science Center at Houston, Houston, TX, United States. Electronic address:

A carotid-cavernous fistula (CCF) is an abnormal connection between the carotid circulation and the cavernous sinus. Treatment of CCFs often consists of obliteration of the fistula by a transarterial or transvenous endovascular approach using embolic agents. However, fistula embolization is often halted due to the potential embolic complications that may arise from the retrograde flow of the embolic agents into the arterial circulation, which often leads to the development of fistula recurrence. Read More

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http://dx.doi.org/10.1016/j.jocn.2020.04.015DOI Listing

Spontaneous near-complete resolution of direct carotid-cavernous fistula resulting from ruptured cavernous internal carotid artery aneurysm.

BMJ Case Rep 2020 Apr 15;13(4). Epub 2020 Apr 15.

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

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http://dx.doi.org/10.1136/bcr-2020-234875DOI Listing

Carotid-Cavernous Fistula Presenting With Bilateral Abducens Palsy.

Stroke 2020 Jun 16;51(6):e107-e110. Epub 2020 Apr 16.

From the Department of Neurology (T.J.P., C.S., R.M., J.S.), Yale School of Medicine, New Haven, CT.

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http://dx.doi.org/10.1161/STROKEAHA.120.029306DOI Listing
June 2020
5.723 Impact Factor

Sonographic Clue in Non-traumatic Carotid-cavernous Fistula: Report of a Case and Literature Review.

Acta Neurol Taiwan 2020 Mar;29(1):18-23

Department of Neurology, China Medical University Hospital, Taichung, Taiwan.

Background: Failure to recognize a carotid-cavernous fistula (CCF) promptly may lead to worse prognosis due to a setback in providing proper treatment. To promote early diagnosis of non-traumatic CCF, we report a case with classic clinical symptoms and signs that was diagnosed and followed up with carotid Doppler sonography (CDS) and transcranial color-coded duplex (TCD).

Case Report: A 45-year-old woman developed an intermittent headache, pulsatile tinnitus, and double vision sequentially within ten days. Read More

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Patient reported long-term outcome after endovascular therapy of indirect dural carotid cavernous fistulas.

PLoS One 2020 10;15(4):e0231261. Epub 2020 Apr 10.

Institute of Neuroradiology, University Hospital, LMU Munich, Munich, Germany.

Purpose: Patient-reported long-term follow-up after endovascular treatment of indirect carotid cavernous fistulas is important, but rarely addressed in literature. We report on this issue with a special focus on the patient's view and its impact on the indication evaluation process.

Methods: We retrospectively reviewed the records of all patients (n = 33) with a minimum follow-up interval of at least 36 and up to 166 months after endovascular treatment of an indirect carotid cavernous fistula (Barrow B-D) at our institution (treated from 01/2003 to 06/2015). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231261PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7147764PMC

PARACENTRAL ACUTE MIDDLE MACULOPATHY IN A CASE OF HIGH-FLOW DIRECT CAROTID CAVERNOUS FISTULA.

Retin Cases Brief Rep 2020 Mar 19. Epub 2020 Mar 19.

Department of Ophthalmology, Royal Melbourne Hospital, Parkville, Victoria, Australia.

Purpose: To report a case of paracentral acute middle maculopathy in a patient with high-flow carotid cavernous fistula.

Methods: A case report of a 53-year-old male patient who sustained an iatrogenic high-flow carotid cavernous fistula and secondary paracentral acute middle maculopathy.

Results: At review 1-week postembolization of the carotid cavernous fistula, there was no significant improvement in visual acuity, tests of optic nerve function, external ophthalmoplegia, and ptosis. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000996DOI Listing

Direct carotid-cavernous fistula: an atypical presentation.

Pan Afr Med J 2019 18;34:204. Epub 2019 Dec 18.

Department of Ophthalmology, Military Hospital Mohammed V, Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco.

Posttraumatic carotid-cavernous fistula (CCF) is a very rare complication that can occur in patients with craniomaxillofacial trauma. It is defined by abnormal communication between arteries and veins located in the cavernous sinus. CCFs can be divided into two groups: direct, which are usually post traumatic and classically with a high flow and acute onset of symptoms. Read More

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http://dx.doi.org/10.11604/pamj.2019.34.204.19445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7060914PMC
December 2019

Letter to the Editor Regarding "Multimodal Management of Carotid-Cavernous Fistulas".

World Neurosurg 2020 03;135:397-398

Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Neurosurgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.wneu.2019.11.107DOI Listing

Endovascular Treatment of Traumatic Arteriovenous Fistula in Young Adults with Pulsatile Tinnitus.

J Korean Neurosurg Soc 2020 Mar 5. Epub 2020 Mar 5.

Department of Neurosurgery, Hallym University Sacred Heart Hospital, Anyang, Korea.

Traumatic arteriovenous fistulas (AVFs) involving the external carotid artery are exceedingly rare in young adults. Since an AVF is the most common life-threatening cause for pulsatile tinnitus (PT), meticulous evaluation and treatment of patients with PT is crucial. Here, we present two traumatic AVF cases treated with coil embolization leading to no residual fistulous connections followed by an immediate and complete resolution of PT. Read More

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http://dx.doi.org/10.3340/jkns.2019.0233DOI Listing

[Hybrid treatment for symptomatic long-segment chronic internal carotid artery occlusion without stump].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Feb;52(1):177-180

Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China.

Objective: To summarize the preliminary experience of hybrid operation for the treatment of symptomatic long-segment chronic internal carotid artery occlusion (CICAO) without stump.

Methods: Clinical data of 12 patients of symptomatic long-segment CICAO without stump undergoing hybrid operation treatment from July 2015 to December 2017 were retrospectively analyzed. The safety and efficacy of hybrid operation for the treatment of symptomatic long-segment CICAO without stump were preliminarily assessed. Read More

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February 2020

Pathophysiology and management of glaucoma and ocular hypertension related to trauma.

Surv Ophthalmol 2020 Sep - Oct;65(5):530-547. Epub 2020 Feb 11.

Glaucoma Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Ocular trauma is a significant cause of blindness worldwide, particularly if associated with glaucoma. Direct damage from blunt or penetrating trauma, bleeding, inflammation, lens-related problems, orbital and brain vascular pathologies related to trauma, and chemical injuries may increase intraocular pressure and lead to traumatic glaucoma. Treatment may be as simple as eliminating the underlying cause in some conditions or management can be challenging, depending on the mechanism of damage. Read More

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http://dx.doi.org/10.1016/j.survophthal.2020.02.003DOI Listing
February 2020

Unique Indications for Covered Stent Grafts in Neuroradiology Departments of Level 1 Trauma Centers.

J Neurol Surg A Cent Eur Neurosurg 2020 May 11;81(3):243-252. Epub 2020 Feb 11.

Unfallkrankenhaus Berlin, Department of Radiology and Neuroradiology, Berlin, Germany.

Objective:  To describe unique indications for covered stent grafts in trauma-associated cerebrovascular injuries.

Patients:  Between 2006 and 2018, five patients with cerebrovascular injuries were treated with a covered stent graft. We present a retrospective analysis of technique and outcomes. Read More

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http://dx.doi.org/10.1055/s-0039-1697604DOI Listing

Cavernous-Carotid Fistula Presenting with Intracerebral Hemorrhage in the Absence of Ocular Symptoms.

World Neurosurg 2020 May 6;137:338-340. Epub 2020 Feb 6.

Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address:

Background: Cavernous-carotid fistulas (CCFs) can present with a variety of symptoms depending on the anatomy of the fistula and its venous drainage. Patients most commonly present with scleral injection, pulsatile exophthalmos, and/or chemosis.

Case Description: We report a patient who presented with intraparenchymal hemorrhage in the absence of any of the commonly associated ocular symptoms and signs. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.228DOI Listing

Commentary: Burr Hole-Assisted Direct Transsylvian Venous Catheterization for Carotid-Cavernous Fistula Embolization: A Case Report.

Oper Neurosurg (Hagerstown) 2020 Feb 3. Epub 2020 Feb 3.

Department of Neurosurgery, Baylor College of Medicine, Houston, Texas.

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http://dx.doi.org/10.1093/ons/opaa007DOI Listing
February 2020

Treatment of low flow, indirect cavernous sinus dural arteriovenous fistulas with external manual carotid compression - the UK experience.

Br J Neurosurg 2020 Feb 3:1-3. Epub 2020 Feb 3.

James Cook University Hospital, Middlesbrough, UK.

External manual carotid compression (EMCC) is a treatment option for indirect cavernous sinus dural arteriovenous fistulas (CS-DAVF). The exact mechanism of how this works is unclear but compression of the carotid and jugular produces thrombus in the cavernous sinus (CS). Although compression of the superior ophthalmic vein (SOV) has been described as a treatment option this technique is not always amenable. Read More

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http://dx.doi.org/10.1080/02688697.2020.1716947DOI Listing
February 2020

High Resistance Index in the Feeding Arteries of Indirect Carotidcavernous Fistulae: A Diagnostic Pitfall.

Acta Neurol Taiwan 2019 Sep;28(3):75-77

Department of Neurology, Mackay Memorial Hospital, Taipei, Taiwan.

Carotid-cavernous fistulae (CCFs) are classified into the direct and indirect types, which can be attributed to trauma, atherosclerosis, hypertension, diabetes mellitus, pregnant or postmenopausal status(1). Cerebral angiography is the gold standard for the diagnosis of CCFs. Doppler ultrasound, which typically reveals increased blood flow velocity and decreased resistance index (RI) in the feeding arteries, can assist in the diagnosis(2-3). Read More

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September 2019

Dural arteriovenous fistulas and headache features: an observational study.

J Headache Pain 2020 Jan 16;21(1). Epub 2020 Jan 16.

Clinica Neurologica, Dipartimento di Neuroscienze, Policlinico Gemelli, Università Cattolica, Rome, Italy.

Background: Dural arteriovenous fistulas are intracranial vascular malformations, fed by dural arteries and draining venous sinuses or meningeal veins. Clinical course varies widely and ranges from benign with spontaneous remission to fatal, due to cerebral hemorrhage. In a 10-year single institution experience, clinical presentation of dural arteriovenous fistulas, and in particular headache and angiographic features, as well as long-term outcome were analyzed. Read More

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http://dx.doi.org/10.1186/s10194-020-1073-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966899PMC
January 2020

Burr Hole-Assisted Direct Transsylvian Venous Catheterization for Carotid-Cavernous Fistula Embolization: A Case Report.

Oper Neurosurg (Hagerstown) 2020 Jan 14. Epub 2020 Jan 14.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Background And Importance: Carotid-cavernous fistulas (CCF) are pathological connections between carotid artery branches and the cavernous sinus. They can lead to a variety of symptoms, such as chemosis and double vision, or more insidious events, such as vision loss and intracranial hemorrhage. Although these patients are often treated by endovascular means, we describe a case in which the patient's CCF was not able to be accessed by usual methods and required an open surgical approach. Read More

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http://dx.doi.org/10.1093/ons/opz394DOI Listing
January 2020

Spontaneous Closure of a Cavernous Sinus Dural Arteriovenous Fistula with Spinal Perimedullary Drainage (Cognard V) during Attempted Transvenous Embolization.

Asian J Neurosurg 2019 Oct-Dec;14(4):1268-1274. Epub 2019 Nov 25.

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

The authors describe a patient with spontaneous closure of a spontaneous cavernous sinus dural arteriovenous fistula (CSDAVF), Cognard type V, during transvenous attempt. A 39-year-old woman experienced mild proptosis, redness of the left eye, and diplopia. Four months later, she developed left retro-orbital pain and left-sided headache. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_277_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6896619PMC
November 2019

Posttraumatic cerebrovascular injuries in children. A systematic review.

Childs Nerv Syst 2020 02 4;36(2):251-262. Epub 2020 Jan 4.

Department of Neurosurgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland.

Introduction: Posttraumatic craniocervical vascular injuries in pediatric traumatic brain injury (TBI) are rare, and children-specific, evidence-based standards on screening and therapy of posttraumatic carotid-cavernous fistula (CCF), craniocervical artery dissections (CCAD), traumatic aneurysms (TA), and posttraumatic sinus venous thrombosis (SVT) is lacking. The aim of this review is to summarize the data on epidemiology, clinical presentation, and treatment of these traumatic lesions in a systematic manner.

Methods: We performed a systematic PubMed search for records of CCF, CCAD, TA, and SVT related to pediatric TBI published until June 2019. Read More

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http://dx.doi.org/10.1007/s00381-019-04482-9DOI Listing
February 2020

Transvenous Embolization of Dural Carotid Cavernous Fistula through the Supraorbital Vein.

J Cerebrovasc Endovasc Neurosurg 2019 Jun 30;21(2):101-106. Epub 2019 Jun 30.

Department of Neurosurgery, Eulji University Eulji Hospital, Seoul, Korea.

We describe a case of transvenous embolization through the dilated supraorbital vein to treat a dural carotid cavernous fistula. The approach through the common facial vein or direct access of the superior ophthalmic vein is a commonly used route to the superior ophthalmic vein when the approach via the inferior petrosal sinus is unavailable. In rare cases, the dilated supraorbital vein provides an alternative route and we discuss the technical details. Read More

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http://dx.doi.org/10.7461/jcen.2019.21.2.101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911772PMC

Delayed spontaneous rupture of cavernous segment of the internal carotid artery following dual ophthalmic segment aneurysms treatment with pipeline embolization device: A case report.

Medicine (Baltimore) 2019 Dec;98(52):e18420

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

Rationale: The incidence of double aneurysms on the ophthalmic segment of the internal carotid artery (ICA) is very rare. Nevertheless, delayed rupture of a parent artery instead of the aneurysmal sac following pipeline embolization device (PLED) is unusual.

Patient Concerns: We present a 72-year-old female who was admitted at our facility with gradual onset of nonspecific visual changes. Read More

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http://dx.doi.org/10.1097/MD.0000000000018420DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946193PMC
December 2019
5.723 Impact Factor

Expanding Indications for Flow Diverters: Distal Aneurysms, Bifurcation Aneurysms, Small Aneurysms, Previously Coiled Aneurysms and Clipped Aneurysms, and Carotid Cavernous Fistulas.

Neurosurgery 2020 Jan;86(Supplement_1):S85-S94

Neurovascular Interventional Unit, Careggi University Hospital, Florence, Italy.

Flow diverter devices have gained wide acceptance for the treatment of unruptured intracranial aneurysms. Most studies are based on the treatment of large aneurysms harboring on the carotid syphon. However, during the last years the "off-label" use of these stents has widely grown up even if not supported by randomized studies. Read More

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http://dx.doi.org/10.1093/neuros/nyz334DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6911737PMC
January 2020

[Carotid-cavernous dural fistula in an 80-year-old woman].

J Fr Ophtalmol 2020 Jan 9;43(1):e31-e33. Epub 2019 Dec 9.

Service d'ophtalmologie, CHRU Rennes-Pontchaillou, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.

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http://dx.doi.org/10.1016/j.jfo.2019.08.002DOI Listing
January 2020

Republished: 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.

J Neurointerv Surg 2020 Mar 9;12(3):e3. Epub 2019 Dec 9.

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/neurintsurg-2017-013396DOI Listing

Bilateral Carotid-cavernous Fistulas Treated with Partial Embolization and Radiosurgery.

Cureus 2019 Oct 10;11(10):e5886. Epub 2019 Oct 10.

Nerosurgery, Prince of Wales Private Hospital, Sydney, AUS.

Bilateral carotid-cavernous fistulas (CCFs) are rare. In this paper, we report the case of an 88-year-old woman who presented with a two-month history of worsening visual symptoms and was subsequently found to have bilateral Barrow grade D CCFs. Cannulation and complete embolization of the offending vessels during angiography proved unsuccessful, and so the patient underwent adjuvant radiosurgery as salvage therapy with a good clinical outcome. Read More

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http://dx.doi.org/10.7759/cureus.5886DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6837273PMC
October 2019

Concomitant occurrence of clinoid and cavernous segment aneurysms complicated with carotid cavernous fistula: A case report.

Medicine (Baltimore) 2019 Nov;98(48):e18184

Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, PR China.

Rationale: Dual aneurysms arising from the internal cerotic artery (ICA) is a very rare occurrence. Clinoid segment aneurysms (CSAs) are often seen at the carotid dural rings while cavernous carotid aneurysms (CCAs) are often a direct communication between the ICA and the cavernous sinus (CS). We present a case of complex concomitant occurrence of a CSA and a CCA complicated with delay aneurysmal rupture (DAR) resulting in carotid cavernous fistula (CCF) after our initial treatment of the patient with pipeline embolization devices (PLEDs) PATIENT CONCERNS:: We present a 64-year old female who we admitted at our institution due to one-year history of double vision. Read More

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http://dx.doi.org/10.1097/MD.0000000000018184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890289PMC
November 2019
5.723 Impact Factor

Transradial Comaneci-assisted coiling of a direct carotid-cavernous fistula.

Radiol Case Rep 2019 Dec 31;14(12):1554-1557. Epub 2019 Oct 31.

Department of Interventional Neuroradiology, Bellvitge University Hospital, C/Feixa Llarga s/n 08017. Hospitalet de Llobregat, Barcelona, Spain.

Direct carotid-cavernous fistula is a communication between the internal carotid artery and the cavernous sinus, most of the times established following trauma or rupture of a cavernous aneurysm. The most commonly used treatments (coils, detachable latex balloons, stents, or liquid agents) carry ischemic or hemorrhagic risks, related to hemodynamic diversion of cerebral blood flow or permanent dual antiplatelet therapy. We report a case of coiling of a carotid-cavernous fistula assisted by the Comaneci, a temporary adjustable bridging mesh (Rapid Medical, Israel), to avoid transarterial or -venous migration. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6849349PMC
December 2019

Bilateral sixth nerve palsies from carotid cavernous fistulas with transient worsening following transvenous embolisation.

BMJ Case Rep 2019 Nov 10;12(11). Epub 2019 Nov 10.

Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, Ontario, Canada

A 59-year-old man presented with a 2-week history of binocular horizontal diplopia worse when looking to the left. He was diagnosed with a left sixth nerve palsy (6 NP) and had new bilateral findings at a 2-week follow-up with new dilated episcleral blood vessels. Bilateral carotid-cavernous fistulas (CCFs) were suspected and confirmed with CT angiography and catheter angiography. Read More

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http://dx.doi.org/10.1136/bcr-2019-232191DOI Listing
November 2019

Carotid-Cavernous Fistula After Transsphenoidal Surgery: A Rare but Challenging Complication.

World Neurosurg 2020 Feb 8;134:221-227. Epub 2019 Nov 8.

Department of Neurosurgery, Lausanne University Hospital, Lausanne, Switzerland.

Background: Carotid-cavernous fistula (CCF) is a rare complication after transsphenoidal surgery.

Methods: The aim of this article is to report a case of CCF after the endoscopic resection of a growth hormone secreting pituitary microadenoma, and to discuss and review all the cases of CCF secondary to transsphenoidal procedures described in literature.

Results: A patient aged 74 years was operated for a growth hormone pituitary microadenoma through an endoscopic transsphenoidal surgery. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.10.194DOI Listing
February 2020
2.417 Impact Factor