Juárez-Ferrer JCM, Gallardo-Ollervides FJ, López-Hernández CM, Alfaro-Iraheta FA

Language: Spanish
References: 0
Page: 97-104
PDF size: 267.03 Kb.

ABSTRACT

Background: Carotid-cavernous fistulas are vascular shunts allowing blood to flow from the carotid artery into the cavernous sinus, they can manifest as antegrade into orbit producing a severe ocular involvement. Located just lateral to the sella turcica, the cavernous sinus is a trabeculated venous cavity invested by the duramater and contains several neural and vascular structures, of which we can mention the internal carotid artery and cranial nerves III, IV, V1, V2 and V3.
Clinical case: A 24-year-old male, who suffered head trauma with subsequent development of high flow carotid cavernous fistula.
Conclusiones: It is important to consider the multidisciplinary work and the timely treatment of carotid-cavernous fistulas; angiography with placement of coil may be a good option.