Abstract
The neuro-ophthalmic features of 11 traumatic carotid cavernous fistulas and their successful occlusion by endoarterial balloon embolisation is reported. Significant improvement in all neuro-ophthalmic signs and symptoms occurred following treatment, however, ocular motility deficits persisted in 7 patients. All 11 fistulas were occluded and the patency of the internal carotid artery was preserved in 9 patients. Though the internal carotid artery was sacrificed in 2 patients there were no permanent sequelae. Transient complications of the procedure occurred in 2 patients.
MeSH terms
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Adolescent
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Adult
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Angioplasty, Balloon / instrumentation*
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Arteriovenous Fistula / physiopathology
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Arteriovenous Fistula / therapy*
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Carotid Artery Injuries*
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Carotid Artery, Internal / physiopathology
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Cavernous Sinus / injuries*
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Cavernous Sinus / physiopathology
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Cerebral Angiography
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Child
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Embolization, Therapeutic / instrumentation*
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Exophthalmos / physiopathology
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Exophthalmos / therapy*
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Female
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Follow-Up Studies
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Humans
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Male
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Middle Aged
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Neurologic Examination
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Papilledema / physiopathology
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Papilledema / therapy
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Retinal Diseases / physiopathology
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Retinal Diseases / therapy
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Retrospective Studies
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Vision, Low / physiopathology
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Vision, Low / therapy*
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Visual Acuity / physiology