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[Post-traumatic carotid-cavernous fistula].
B Hmamouchi1, A Rakaa, I Alhyene
1Service d'anesthésie-réanimation des urgences chirurgicales, hôpital 20 août, CHU Ibn Rochd, Casablanca, Maroc. b.hmamouchi@caramail.com
Annales Francaises D'Anesthesie Et De Reanimation
|June 23, 2001
Summary
Severe craniofacial trauma can cause rare carotid-cavernous fistulas. Prompt diagnosis and interventional neuroadiology, like embolization, significantly improve patient outcomes, though complications can be fatal.
Area of Science:
- Neurology
- Radiology
- Trauma Surgery
Background:
- Carotid-cavernous fistulas (CCF) are rare but serious complications following severe craniofacial trauma.
- These fistulas involve abnormal connections between the carotid artery and the cavernous sinus.
Observation:
- The study presents three cases of CCF post-craniofacial trauma.
- Clinical suspicion arose from pulsatile exophthalmos and a systolic-diastolic murmur.
- Diagnosis was confirmed via arteriography.
Findings:
- Successful embolization, a treatment via interventional neuroadiology, was achieved in two patients.
- One patient succumbed to neurological complications prior to treatment.
- CCF poses risks of blindness and life-threatening hemorrhages.
Implications:
- Interventional neuroadiology has markedly improved the prognosis for carotid-cavernous fistulas.
- Early diagnosis and treatment are crucial for managing this severe traumatic complication.
- Understanding CCF is vital for neurosurgeons and interventional radiologists managing head trauma.