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2016, Number 1

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Invest Medicoquir 2016; 8 (1)

Post-traumatic carotid-cavernous fistulae. Case report

Sánchez PME, Jordán GJA, Montesinos ÁI, Figueredo MJ

Language: Spanish
References: 19
Page: 135-147
PDF size: 313.61 Kb.


ABSTRACT

A case of traumatic carotid-cavernous fistula is presented. A 38 year old male suffered a skull base fracture after a car accident indicating persistent headache and left eye flushing, chart aggravated in a few days to get specific to the entity and bilateral, given by conjunctival injection, proptosis, chemosis, diplopia, paralysis of ocular motility and continuous tinnitus. A carotid-cavernous fistula was clinically diagnosed and confirmed by cerebral angiography. The patient had rapidly progressive evolution to vision loss and increase of orbital congestive symptoms. He was treated by endovascular occlusion with detachable platinum coils, after which evolved satisfactorily.


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