J Korean Neurosurg Soc.  1991 Apr;20(4):236-241.

Direct Surgical Approach of the Spontaneous Carotid Cavernous Fistula

Affiliations
  • 1Departments of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.

Abstract

We report a case of spontaneous carotid cavernous fistula(CCF) showing low flow shunt, which was successfully occluded in the fistular site of CCF by direct surgical approach via anteromedial, paramedial and Parkinson's triangle intradurally through pterional subte mporal petrosal route extradurally after intermitten temporary clipping of internal corotid artery(ICA) in petrosal portion and proximal to the ophthalmic artery without hypotension, hypothermia, extracorporial circulation, or cardiac arrest.

Keyword

Carotid cavernous fistula; Cavernous sinus; Pterional subtemporal petrosal approach; Direct surgery

MeSH Terms

Cavernous Sinus
Fistula*
Heart Arrest
Hypotension
Hypothermia
Ophthalmic Artery
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