Abstract
The neuro-ophthalmic features of 11 traumatic carotid cavernous fistulas and their successful occlusion by endoarterial balloon embolisation is reported. Significant improvement in all neuro-ophthalmic signs and symptoms occurred following treatment, however, ocular motility deficits persisted in 7 patients. All 11 fistulas were occluded and the patency of the internal carotid artery was preserved in 9 patients. Though the internal carotid artery was sacrificed in 2 patients there were no permanent sequelae. Transient complications of the procedure occurred in 2 patients.
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- Barrow D. L., Spector R. H., Braun I. F., Landman J. A., Tindall S. C., Tindall G. T. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg. 1985 Feb;62(2):248–256. doi: 10.3171/jns.1985.62.2.0248. [DOI] [PubMed] [Google Scholar]
- Berthelsen B., Svendsen P. Treatment of direct carotid-cavernous fistulas with detachable balloons. Acta Radiol. 1987 Nov-Dec;28(6):683–691. [PubMed] [Google Scholar]
- Debrun G. M., Viñuela F., Fox A. J., Davis K. R., Ahn H. S. Indications for treatment and classification of 132 carotid-cavernous fistulas. Neurosurgery. 1988 Feb;22(2):285–289. doi: 10.1227/00006123-198802000-00001. [DOI] [PubMed] [Google Scholar]
- Debrun G., Lacour P., Vinuela F., Fox A., Drake C. G., Caron J. P. Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg. 1981 Nov;55(5):678–692. doi: 10.3171/jns.1981.55.5.0678. [DOI] [PubMed] [Google Scholar]
- Dolenc V. Direct microsurgical repair of intracavernous vascular lesions. J Neurosurg. 1983 Jun;58(6):824–831. doi: 10.3171/jns.1983.58.6.0824. [DOI] [PubMed] [Google Scholar]
- Hanneken A. M., Miller N. R., Debrun G. M., Nauta H. J. Treatment of carotid-cavernous sinus fistulas using a detachable balloon catheter through the superior ophthalmic vein. Arch Ophthalmol. 1989 Jan;107(1):87–92. doi: 10.1001/archopht.1989.01070010089033. [DOI] [PubMed] [Google Scholar]
- Jennett B., Teasdale G., Braakman R., Minderhoud J., Heiden J., Kurze T. Prognosis of patients with severe head injury. Neurosurgery. 1979 Apr;4(4):283–289. doi: 10.1227/00006123-197904000-00001. [DOI] [PubMed] [Google Scholar]
- Jennett B., Teasdale G., Galbraith S., Pickard J., Grant H., Braakman R., Avezaat C., Maas A., Minderhoud J., Vecht C. J. Severe head injuries in three countries. J Neurol Neurosurg Psychiatry. 1977 Mar;40(3):291–298. doi: 10.1136/jnnp.40.3.291. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Keltner J. L., Satterfield D., Dublin A. B., Lee B. C. Dural and carotid cavernous sinus fistulas. Diagnosis, management, and complications. Ophthalmology. 1987 Dec;94(12):1585–1600. doi: 10.1016/s0161-6420(87)33258-0. [DOI] [PubMed] [Google Scholar]
- Kupersmith M. J., Berenstein A., Flamm E., Ransohoff J. Neuroophthalmologic abnormalities and intravascular therapy of traumatic carotid cavernous fistulas. Ophthalmology. 1986 Jul;93(7):906–912. doi: 10.1016/s0161-6420(86)33643-1. [DOI] [PubMed] [Google Scholar]
- Leonard T. J., Moseley I. F., Sanders M. D. Ophthalmoplegia in carotid cavernous sinus fistula. Br J Ophthalmol. 1984 Feb;68(2):128–134. doi: 10.1136/bjo.68.2.128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Palestine A. G., Younge B. R., Piepgras D. G. Visual prognosis in carotid-cavernous fistula. Arch Ophthalmol. 1981 Sep;99(9):1600–1603. doi: 10.1001/archopht.1981.03930020474014. [DOI] [PubMed] [Google Scholar]
- Quisling R. G., Mickle J. P., Ballinger W., Jr Latex vascular occlusion balloons: histopathologic evaluation in a high-flow aortocaval fistula model. AJNR Am J Neuroradiol. 1985 Jul-Aug;6(4):583–587. [PMC free article] [PubMed] [Google Scholar]
- Sanders M. D., Hoyt W. F. Hypoxic ocular sequelae of carotid-cavernous fistulae. Study of the caues of visual failure before and after neurosurgical treatment in a series of 25 cases. Br J Ophthalmol. 1969 Feb;53(2):82–97. doi: 10.1136/bjo.53.2.82. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Scialfa G., Valsecchi F., Scotti G. Treatment of vascular lesions with balloon catheters. AJNR Am J Neuroradiol. 1983 May-Jun;4(3):395–398. [PMC free article] [PubMed] [Google Scholar]
- TAMLER E. Carotid-cavernous fistula with typical signs on contralateral side only. AMA Arch Ophthalmol. 1954 Sep;52(3):433–441. doi: 10.1001/archopht.1954.00920050435011. [DOI] [PubMed] [Google Scholar]
- Théron J., Olivier A., Melancon D., Ethier R. Left carotido-cavernous fistula with right exophthalmos: treatment by detachable balloon. Case report and literature review. Neuroradiology. 1985;27(4):349–353. doi: 10.1007/BF00339571. [DOI] [PubMed] [Google Scholar]