J Korean Ophthalmol Soc.  2011 Mar;52(3):332-337. 10.3341/jkos.2011.52.3.332.

The Clinical Characteristics and Endovascular Management Outcomes of Dural Carotid Cavernous Fistulas

• Ahn JH
• Jung JH
• Choi KD
• Choi HY

• KMID: 2214298
• DOI: http://doi.org/10.3341/jkos.2011.52.3.332

Abstract

PURPOSE
To describe the clinical characteristics and endovascular management outcomes of Dural carotid cavernous sinus fistula (Dural CCF).
METHODS
Ocular symptoms, signs, and complications of 15 eyes from 14 patients confirmed with Dural CCF by angiography were examined. The medical records of patients who underwent endovascular management were analyzed retrospectively.
RESULTS
The mean age of the patients was 50.6 +/- 14.2 years; 4 were men and 10 were women. The eye consisted of 7 right eyes and 8 left eyes. Two eyes were of hypertension patients. The chief clinical symptoms on the first visit were diplopia, injection, ocular pain, proptosis, ptosis, and tinnitus. On cerebral angiography, Barrow Type D was the most common consisting of 12 cases (80%). Endovascular embolization was performed in 13 eyes and the average number of times received was 1. Signs and symptoms improved over a mean of 4.5 months of clinical follow-up in 12 eyes. There were no ocular complications related to endovascular embolization.
CONCLUSIONS
Dural CCF should be suspected in a middle-aged woman with injection or diplopia. Endovascular embolization is considered minimally invasive and highly successful for the treatment of Dural CCF.

Keyword

Carotid cavernous sinus fistula; Embolization

MeSH Terms

Angiography
Carotid-Cavernous Sinus Fistula
Caves
Cerebral Angiography
Diplopia
Exophthalmos
Eye
Female
Fistula
Follow-Up Studies
Humans
Hypertension
Male
Medical Records
Tinnitus

Reference

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