Purpose: to report a case of a woman who had a severe cranial trauma complicated by two ophalmologic potentially cecitating complications: right carotido-cavernous fistula and left traumatic optic neuropathy.
Observation: A 56 years-old woman, without any medical history, referred, one month after fall from a height of 3 meters, for right exophthalmos. Ophthalmic examination of the right eye completed by retinal angiography suspected carotid-cavernous fistula which was confirmed by angio-MRI. In the left eye, the visual acuity was decreased to no light perception and fundus examination showed optic nerve head palor secondary to traumatic optic neuropathy. Arterial embolization was performed and allowed closing of the fistula.
Conclusion: Optic neuropathy and carotido-cavernous fistula are two severe complications that can occur simultaneously in the same patient. The prognosis of the optic neuropathy may be compromised, and the treatment of carotido-cavernous fistula benefited from progress in interventional neuro-radiology.
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Purpose: to report a case of a woman who had a severe cranial trauma complicated by two ophalmologic potentially cecitating complications: right carotido-cavernous fistula and left traumatic optic neuropathy.
Observation: A 56 years-old woman, without any medical history, referred, one month after fall from a height of 3 meters, for right exophthalmos. Ophthalmic examination of the right eye completed by retinal angiography suspected carotid-cavernous fistula which was confirmed by angio-MRI.
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March 2017
Radiodiagnostica e Neuroradiologia, Fondazione Policlinico Universitario A. Gemelli, Rome, Italy.
Background: The goal of dural arteriovenous fistula of the cavernous sinus treated with coils through ultrasound-guided access to the facial vein is to interrupt the fistulous communications and decrease the pressure in the cavernous sinus and consequently in the ophthalmic veins. The traditional approach in the treatment of these fistulae is transvenous endovascular occlusion of the cavernous sinus. Transvenous embolization has been proven to be safe and can provide complete and permanent occlusion of the fistula in a single session.
View Article and Find Full Text PDFEndovascular management of intracranial dural arteriovenous fistulae.
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July 2014
Department of Neurologic Surgery, College of Medicine, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA. Electronic address:
Endovascular embolization is the primary therapeutic modality for intracranial dural arteriovenous fistulae. Based on access route, endovascular treatment can be schematically divided into transarterial, transvenous, combined, and direct/percutaneous approaches. Choice of access route and technique depends primarily on dural arteriovenous fistulae angioarchitecture, pattern of venous drainage, clinical presentation, and location.
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Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology; Thiruvananthapuram, India -
This study determined the utility and accuracy of susceptibility-weighted MRI (SWI) for the detection of carotid cavernous fistulas. We retrospectively compared SWI images in nine patients (Group 1, case group) of DSA-proved carotid cavernous fistula (CCF) and 19 DSA negative cases for CCF as a control group (Group 2). Group 1 was again sub-grouped into direct and indirect types.
View Article and Find Full Text PDFImaging of the cavernous sinus lesions.
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Department of neuroradiology, Geneva university hospitals, rue Gabrielle-Perret-Gentil 4, 1211 Genève 14, Switzerland.
This educational paper reviews the normal anatomy of the cavernous sinus (CS) and the imaging findings of common and uncommon lesions of this region. CS lesions may arise from different components of the CS or from adjacent structures and spaces. They can be classified as tumoral, inflammatory/infectious, vascular and congenital.
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