[Elektro-clinical results in cases with carotis-sinus-cavernosus-fistula (author's transl)].
Eight cases of carotid cavernous fistulas are reported. Electroencephalograms were done before, during and after operative attack und during digital carotid compression. Preoperative, there was a mild general slowing, ipsilaterally marked in the parieto-temporal region. During digital carotid compression slowing may be found on the opposite side because of a steal syndrome. The degree of these physical changes and of those during hyperventilation depends on the individual cerebral blood flow and the corresponding situation of cerebral blood flow and the corresponding situation of cerebral metabolism. These changes are especially marked under anaesthetics. That is why derivations under anaesthetics seem to be most important for indicating the operation and to be correlated to the functional disturbances by the fistula. delta-activity is no contra-indication, when faster activity is superposed. Seizure potentials, only, seem to be a contra-indication. Pathogenetic mechanisms of electroencephalographic changes are being discussed. From that can be concluded that early operative treatment is necessary. Especially if the patient is young, there may be no need for compression training. Simultaneously, there is a possibility for curing neuro-ophthalmic disturbances.
D000293:Adolescent; D000328:Adult; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D002339:Carotid Arteries / Q000601:surgery; D020212:Carotid Artery Injuries; D002426:Cavernous Sinus / Q000293:injuries / Q000601:surgery; D006259:Craniocerebral Trauma / Q000150:complications; D004569:Electroencephalography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
Klinische und elektroenzephalographische Befunde bei Carotis-Sinus-Cavernosus-Fistein.