| Abstract | We describe a case of transsphenoidal deflation of a detachable balloon after embolization of a carotid-cavernous fistula (CCF). The patient developed complete third and sixth nerve palsies immediately after detachable balloon embolization of the CCF, which was considered to be caused by cavernous sinus (CS) compression by the over-inflated balloon. We performed direct puncture of the balloon via the transsphenoidal route using a frameless neuronavigation system. Navigation-assisted transsphenoidal approach (TSA) is technically feasible for balloon deflation in cases of severe cranial nerve palsies due to an over-inflated balloon. |
| Authors | J Y Jung, S H Kim, D J Kim, D-I Kim
(Affiliation: Department of Radiology, Yonsei University College of Medicine, Seoul, Korea.)
|
| Journal | Acta neurochirurgica
(Acta Neurochir (Wien))
Vol. 149
Issue 2
Pg. 207-12; discussion 212
(Feb 2007)
ISSN: 0001-6268 Austria |
| PMID | 17242850
(Publication Type: Case Reports, Journal Article)
|
| Topics |
- Aged
- Balloon Occlusion
(adverse effects, instrumentation)
- Carotid-Cavernous Sinus Fistula
(therapy)
- Cranial Nerve Diseases
(etiology, surgery)
- Device Removal
(methods)
- Female
- Humans
- Neuronavigation
|
