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2016, Number 12

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MediSan 2016; 20 (12)

Importance of the clinical method in the diagnosis of the carotid-cavernous fistula

Fuentes PD, Alba CY, Hodelín FD
Full text How to cite this article

Language: Spanish
References: 8
Page: 6073-6079
PDF size: 436.99 Kb.


Key words:

carotid cavernous arteriovenous fistula, proptosis, obliteration of arteriovenous fistula, ophthalmologic centers.

ABSTRACT

The case report of a 49 years patient that presented a proptosis with right eye reddening due to a hipertensive crisis is described, reason why he received different diagnosis and treatments. As the patient didn't improve and other clinical features appeared, he was referred to the Glaucoma and Neurophthalmology Service of the Ophthalmologic Center in Santiago de Cuba, where some studies were carried out which lead to the definitive diagnosis of indirect and of low flow carotid cavernous arteriovenous fistula in the right side. External manual compression of the carotid was indicated and the obliteration of the fistula and improvement of the affected patient was achieved.


REFERENCES

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  2. Galá Herrera LE, Pérez Llanes A, González García JA, Mendoza Santiestebán C, Agramante Centelles I. Fístula carotídeo cavernosa, un caso interesante. Rev Misión Milagro. 2008 [citado 18 Mar 2015]; 2(2). Disponible en: http://www.misionmilagro.sld.cu/vol2no2/pcaso1.php

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  6. Kuhn F, Morris R, Witherspoon CD, Heimann K, Jeffers JB, Treister G. A standarized classification of ocular trauma. Ophthalmology. 1996; 103(2): 240-3.

  7. Luján Mercado CE, Vargas Vélez SA. Compresión carotídea manual externa: una opción de tratamiento para la fístula carótido-cavernosa. Rev Colomb Radiol. 2008; 19(4): 2542-3.

  8. Lacerda Gallardo AJ, Martín Pardo JC, Martín Chaviano D, Tacas Gil N, Romeo Yunaka S. Tratamiento quirúrgico para la fístula carótido-cavernosa traumática: presentación de un caso. Rev Cubana Neurol Neurocir. 2014; 4(2): 174–8.




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