Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Traumatic carotid-cavernous sinus fistula.

N Zachariades1, D Papavassiliou

  • 1Oral and Maxillo-Facial Department, Peripheral General Hospital of Attica, Athens, Greece.

Journal of Cranio-Maxillo-Facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Small cell carcinoma metastatic to the mandible. Report of a case.

International journal of oral and maxillofacial surgery·2004
Same author

Cephalic tetanus: report of case.

The British journal of oral & maxillofacial surgery·2003
Same author

Cerebellar infarct: secondary to arteriography for the diagnosis of a buccal hemangioma.

International journal of oral and maxillofacial surgery·2002
Same author

Embolization for the treatment of pseudoaneurysm and transection of facial vessels.

Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics·2001
Same author

Giant ancient neurilemmoma of the cervical region: report of case.

Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons·2001
Same author

Vascular malformations in a 3(1/2)-year-old child.

Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics·2001

Traumatic carotid-cavernous sinus fistula is a rare condition often linked to severe facial trauma. Prompt diagnosis and treatment are crucial for managing this complex vascular anomaly.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Ophthalmology

Background:

  • Traumatic carotid-cavernous sinus fistula (CCF) is an infrequent complication of severe head and facial trauma.
  • CCF can also arise spontaneously due to congenital, infectious, or degenerative causes.
  • It involves abnormal blood flow from the internal carotid artery into the cavernous sinus.

Observation:

  • Symptoms include pulsating exophthalmos, orbital pain, headache, bruit, vision loss, diplopia, and ophthalmoplegia.
  • Differential diagnosis must exclude conditions like superior orbital fissure syndrome, orbital apex syndrome, and cavernous sinus thrombosis.
  • A case presented with facial fractures and CCF, despite a negative initial angiogram, leading to a permanent coma.

Findings:

  • The study highlights the diagnostic challenges of CCF, especially when initial imaging is inconclusive.

Related Experiment Videos

  • The case underscores the potential for severe neurological deficits, including coma, following traumatic CCF.
  • Despite various proposed treatments, outcomes can be poor in complex or delayed presentations.

    • Implications:

    • This case emphasizes the need for high clinical suspicion for CCF in patients with severe facial trauma and neurological symptoms.
    • Further research into optimal diagnostic and therapeutic strategies for traumatic CCF is warranted.
    • Understanding the pathophysiology and clinical spectrum of CCF is vital for improving patient management and outcomes.