J Acute Care Surg.
2016 Apr;6(1):29-33. 10.17479/jacs.2016.6.1.29.
Delayed Traumatic Carotid-Cavernous Sinus Fistula Accompanying Intracranial Hemorrhage
- Affiliations
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- 1Department of Critical Care Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea. dr99.park@samsung.com
- 2Department of Surgery, Sungkyunkwan University Samsung Medical Center, Seoul, Korea.
- 3Division of Cardiology, Department of Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea.
- 4Department of Neurology, Sungkyunkwan University Samsung Medical Center, Seoul, Korea.
- 5Division of Pulmonary, Department of Medicine, Sungkyunkwan University Samsung Medical Center, Seoul, Korea.
- KMID: 2360744
- DOI: http://doi.org/10.17479/jacs.2016.6.1.29
Abstract
- Traumatic carotid-cavernous fistula (TCCF) is a pathologic communication between the internal carotid artery and cavernous sinus, and is associated with craniomaxillofacial trauma. TCCF are very rare, occurring in 0.17~0.27% of craniomaxillofacial trauma cases. We describe a 76-year-old woman treated for multiple fractures including the skull base, left temporal bone, right tibia and fibula, left clavicle, and fifth and seventh rib fractures. She developed symptoms of TCCF two weeks after the initial trauma. We successfully treated her by endovascular occlusion of the internal carotid artery.
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