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[Neuro-ophthalmology and interventional neuro-radiology--co-treatment for carotid cavernous sinus fistula].

Abstract
Carotid-cavernous fistulas (CCFs) are abnormal arteriovenous communications in the cavernous sinus. In many cases of CCF's the primary signs are ocular manifestations, which include: pulsatile proptosis, orbital bruit, chemosis and conjunctival injection, elevated intraocular pressure, venous stasis retinopathy, and cranial nerve pareses. Patients in whom the fistula causes arterial drainage into the cerebral veins and sinuses are at risk for intracranial hemorrhage. The most common treatment for CCF's is endovascular occlusion of the lesion. The goal of this procedure is to occlude the fistula but preserve the patency of the internal carotid artery. The CCF itself, as well as its treatment, can be sight- and even life-threatening. We describe 3 case reports of patients with CCF, in order to demonstrate the cooperation between the neuro-opthalmologist and the invasive neuro-radiologist, in the follow-up of the patient and in the treatment timing decision.
AuthorsEva Platner, Mati Bakon, Ruth Huna-Baron
JournalHarefuah (Harefuah) Vol. 152 Issue 2 Pg. 88-91, 123 (Feb 2013) ISSN: 0017-7768 [Print] Israel
PMID23513499 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Aged
  • Aged, 80 and over
  • Carotid-Cavernous Sinus Fistula (pathology, therapy)
  • Cooperative Behavior
  • Decision Making
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neurology (methods)
  • Ophthalmology (methods)
  • Radiology, Interventional (methods)
  • Time Factors

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