Traumatic indirect carotid-cavernous fistula: Report of two cases

Ben E. Jacobson, Gary Nesbit, Arvind Ahuja, Stanley L. Barnwell

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

OBJECTIVE AND CLINICAL IMPORTANCE: We present two cases of posttraumatic indirect carotid-cavernous fistulas. Trauma produces the direct type of carotid-cavernous fistula in almost all cases, and recognition that trauma may induce the indirect type has been rarely reported. CLINICAL PRESENTATION: Both patients presented with signs and symptoms of direct carotid-cavernous fistulas, including bruit, proptosis, and chemosis, after trauma to the head. INTERVENTION: The two patients were treated by transarterial embolization, resulting in immediate and permanent occlusion of the fistula. CONCLUSION: Trauma may rarely induce an indirect type of carotid-cavernous fistula. This posttraumatic, indirect carotid-cavernous fistula was, in these two cases, successfully and permanently cured by transarterial embolization because of the large fistulous connection between the branches of the external carotid artery and the cavernous sinus.

Original languageEnglish (US)
Pages (from-to)1235-1238
Number of pages4
JournalNeurosurgery
Volume39
Issue number6
DOIs
StatePublished - Dec 1996

Fingerprint

Fistula
Wounds and Injuries
External Carotid Artery
Cavernous Sinus
Exophthalmos
Craniocerebral Trauma
Signs and Symptoms

Keywords

  • Carotid-Cavernous fistula
  • Embolization
  • Indirect
  • Traumatic

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Jacobson, B. E., Nesbit, G., Ahuja, A., & Barnwell, S. L. (1996). Traumatic indirect carotid-cavernous fistula: Report of two cases. Neurosurgery, 39(6), 1235-1238. https://doi.org/10.1097/00006123-199612000-00033

Traumatic indirect carotid-cavernous fistula : Report of two cases. / Jacobson, Ben E.; Nesbit, Gary; Ahuja, Arvind; Barnwell, Stanley L.

In: Neurosurgery, Vol. 39, No. 6, 12.1996, p. 1235-1238.

Research output: Contribution to journalArticle

Jacobson, BE, Nesbit, G, Ahuja, A & Barnwell, SL 1996, 'Traumatic indirect carotid-cavernous fistula: Report of two cases', Neurosurgery, vol. 39, no. 6, pp. 1235-1238. https://doi.org/10.1097/00006123-199612000-00033
Jacobson, Ben E. ; Nesbit, Gary ; Ahuja, Arvind ; Barnwell, Stanley L. / Traumatic indirect carotid-cavernous fistula : Report of two cases. In: Neurosurgery. 1996 ; Vol. 39, No. 6. pp. 1235-1238.
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