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Case Report: Traumatic Carotid-Cavernous Fistula.

Heinke Pülhorn1, Arun Chandran, Hans Nahser

  • 1Department of Neurosurgery, (Drs Pülhorn and McMahon); and Department of Neuroradiology (Drs Chandran and Nahser), The Walton Centre, Liverpool, United Kingdom.

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
|January 9, 2016
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Summary
This summary is machine-generated.

This case report details a rare post-traumatic carotid-cavernous fistula (CCF) successfully treated with coil embolization. Prompt diagnosis and intervention led to symptom resolution in a head trauma patient.

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Area of Science:

  • Neuroscience
  • Vascular Surgery
  • Radiology

Background:

  • Carotid-cavernous fistulae (CCFs) are uncommon vascular lesions.
  • They can arise as a complication of head trauma, potentially leading to severe outcomes.

Observation:

  • A 45-year-old male presented with symptoms of CCF two months post-head injury.
  • Diagnostic imaging included CT, MRI, and digital subtraction angiography.

Findings:

  • The patient was diagnosed with a post-traumatic carotid-cavernous fistula.
  • Successful treatment was achieved through endovascular coil embolization.

Implications:

  • This case highlights the importance of maintaining a high index of suspicion for CCFs after craniofacial trauma.
  • Timely diagnosis and appropriate treatment, such as coil embolization, can lead to favorable patient outcomes and symptom resolution.