Traumatic Carotid-cavernous Fistula Bringing about Intracerebral Hemorrhage

  • Lee, Chang-Ju (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Choi, Seung-Won (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Kim, Seon-Hwan (Department of Neurosurgery, College of Medicine, Chungnam National University) ;
  • Youm, Jin-Young (Department of Neurosurgery, College of Medicine, Chungnam National University)
  • Published : 2005.08.28

Abstract

Spontaneous intracerebral hemorrhage associated with traumatic carotid-cavernous fistula is rare. The cardinal symptoms of traumatic carotid-cavernous fistula are confined to ocular manifestations. This article describes a case of traumatic carotid-cavernous fistula which was initially diagnosed as an intracerebral hemorrhage, after ocular symptoms were overlooked. Because some cases of carotid-cavernous fistula have an atypical drainage which can result in intracerebral hemorrhage, early diagnosis and intervention are vital to prevent this unwanted intracerebral hemorrhage.

Keywords

References

  1. Ahn JY, Choi HK, Lee BH, Choi EW : Transarterial guglielmi detachable coils embolization with stenting for the treatment of a traumatic carotid-cavernous fistula. J Korean Neurosurg Soc 32 : 156-158, 2002
  2. d'Angeio VA, Monte V, Scialfa G, Fiumara E, Scotti G : Inrracerebral venous hemorrhage in 'high risk' carotid-cavernous fistula. Surg Neurol 30: 387-390, 1988 https://doi.org/10.1016/0090-3019(88)90202-9
  3. Debrun G, Laour P, Vinuela F, Fox A, Drake CG, Caron JP : Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg 55 : 678-692, 1981 https://doi.org/10.3171/jns.1981.55.5.0678
  4. Hiramatsu K, Utsumi S, Kyoi K, Sakaki T, Tada T, Iwasaki S, et al : Intracerebral hemorrhage in carotid-cavernous fistula. Neuroradiology 33 : 67-69, 1991 https://doi.org/10.1007/BF00593339
  5. Sim HB, Choi BO, Lee SI, Jung YT, Kim SC, Sim JH : Clinical analysis of Traumatic Carotid Cavernous Fistula. J Korean Neurosurg Soc 25 : 720-734, 1996
  6. Tanaka A, Fukushima T, TomonagaM : Intracerebral hematomas in cases of dural arteriovenous malformation and carotid-cavernous fistula. Surg Neurol 25 : 557-562, 1986 https://doi.org/10.1016/0090-3019(86)90182-5
  7. Tuner DM, Vangilder JC, Mojtahedi S, Pierson EW : Spontaneous intracerebral hematoma in carotid-cavernous fistula. J Neurosurg 59 : 680-686, 1983 https://doi.org/10.3171/jns.1983.59.4.0680
  8. Vaghi MA, Savoiardo M, Stranda L: Unusual computerized tomography appearance of a carotid-cavernous fistula. J Neurosurg 58 : 435-437, 1983 https://doi.org/10.3171/jns.1983.58.3.0435