Publication:
Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report.

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Date

2016-04

Authors

Marín-Fernández, Ana-Belén
Cariati, Paolo
Román-Ramos, María
Fernandez-Solis, José
Martínez-Lara, Ildefonso

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Medicina Oral S.L
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Abstract

UNLABELLED Carotid-cavernous fistulas are an uncommon diseases characterized by abnormal communications between arteries and veins located in the cavernous sinus. According with Barrow´s classification they could be divided in two groups: direct and indirect. The typical symptoms showed by theses pathologies are: pulsating exophthalmos and orbital blow. The present study describes a case of direct posttraumatic carotid-cavernous fistula in a 26 years old man. Furthermore, we present the images that we used to make the diagnosis. In this light, we decided to treat this case with endovascular approach after considering several therapeutic options. The aim of the present report is twofold. First, we examine the importance of the proper management of the direct posttraumatic carotid-cavernous fistula. Second, we describe this rare syndrome with the goal of proposing suitable treatments. KEY WORDS Carotid cavernous fistulas, pulsating exophthalmos, orbital blow, endovascular approach, Barrow´s classification.

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Journal Article;

MeSH Terms

Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Arteries
Medical Subject Headings::Diseases::Cardiovascular Diseases::Vascular Diseases::Cerebrovascular Disorders::Carotid Artery Diseases::Carotid-Cavernous Sinus Fistula
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Veins::Cranial Sinuses::Cavernous Sinus
Medical Subject Headings::Diseases::Eye Diseases::Orbital Diseases::Exophthalmos
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Male
Medical Subject Headings::Anatomy::Cardiovascular System::Blood Vessels::Veins

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Keywords

Carotid cavernous fistulas, Pulsating exophthalmos, Orbital blow, Endovascular approach, Barrow´s classification., Fístula del seno cavernoso de la carótida, Seno cavernoso, Exoftalmia, Venas

Citation

Marín-Fernández AB, Cariati P, Román-Ramos M, Fernandez-Solis J, Martínez-Lara I. Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report. J Clin Exp Dent. 2016; 8(2):e226-9