J Korean Neurosurg Soc.  1997 Jan;26(1):119-129.

Clinical and Radiological Analysis of Carotid Cavernous Fistula and Detachable Balloon Occlusion: Case Report

• Choi YJ
• Kim DH
• Kim YG
• Lee MS
• Min KS

Abstract

Carotid-cavernous fistula is a serious complication of head trauma. We have experienced 5 cases of carotid-cavernous fistula(four cases were traumatic and one was spontaneous) recently and have successfully managed them by detachable balloon occlusion. We have found that while some cases had typical manifestations, the others had atypical features. We therefore concluded that clinical suspicion and early imaging studies are essential steps in the management of carotid-cavernous fistula. Careful monitoring and prompt treatment are important because of its dismal progression and poor outcome. Detachable balloon occlusion is a method of choice in management of carotid-cavernous fistula, because it can be used under local anesthesia. It provides a chance of early detection of neurological deterioration during the procedure and it can be, if necessary performed during diagnostic procedures.

Keyword

Carotid-cavernous fistula; Detachable balloon occlusion; Prompt treatment

MeSH Terms

Anesthesia, Local
Balloon Occlusion*
Craniocerebral Trauma
Fistula*