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Related Experiment Videos

Direct carotid-cavernous sinus fistulas

R Spires

    Today'S OR Nurse
    |July 1, 1994
    PubMed
    Summary

    Direct carotid-cavernous sinus fistulas, often from head trauma, cause various eye symptoms. Balloon closure of the abnormal connection is the preferred treatment.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Vascular Surgery

    Background:

    • Direct carotid-cavernous sinus fistulas (CCSF) are often linked to head trauma.
    • Patients typically present at trauma centers.

    Purpose of the Study:

    • To outline the clinical presentation, diagnosis, and treatment of direct carotid-cavernous sinus fistulas.

    Main Methods:

    • Review of clinical manifestations and diagnostic modalities.
    • Description of current treatment strategies, including endovascular techniques.

    Main Results:

    • Ocular symptoms include exophthalmos, diplopia, visual loss, and specific funduscopic findings.
    • Cerebral arteriography is the definitive diagnostic tool.
    • Detachable, flow-guided balloons are the primary treatment for closing the fistula while maintaining carotid artery patency.

    Conclusions:

    • Direct CCSF require prompt diagnosis and management.
    • Endovascular closure using balloons is an effective treatment for direct CCSF.

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