Traumatic CCFS: Can We Wait..?
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Carotid-cavernous fistula (CCF) is an abnormal communication between the cavernous part of internal carotid artery (ICA) or one of its branches or external carotid artery and the cavernous sinus. It is classified etiologically into posttraumatic or spontaneous CCF. Traumatic carotid-cavernous fistula (TCCF) is a direct communication between cavernous portion of the internal carotid artery (ICA) and cavernous sinus due to tear in ICA; it accounts for 75% of all the cases of CCFs. Apart from ophthalmoplegia and vision impairment, these high-flow TCCFs may result occasionally in life threatening intracranial hemorrhage or epistaxis. Most of the cases need endovascular embolization; spontaneous resolution of high-flow, direct TCCFs is extremely rare (less than 6% and usually with indirect CCF). We report two cases of high flow, direct TCCF (Barrow type A) that resolved spontaneously and confirmed by digital subtraction angiography.
Authors and Affiliations
Dr. Shashank Nagendra
Keywords
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