Neuro-ophthalmic features of carotid cavernous fistulas and their treatment by endoarterial balloon embolisation.
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.
Brosnahan
D
D
Institute of Neurological Sciences, Glasgow.
McFadzean
R M
RM
Teasdale
E
E
D000293:Adolescent; D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001164:Arteriovenous Fistula / Q000503:physiopathology / Q000628:therapy*; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000503:physiopathology; D002426:Cavernous Sinus / Q000293:injuries* / Q000503:physiopathology; D002533:Cerebral Angiography; D002648:Child; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005094:Exophthalmos / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009460:Neurologic Examination; D010211:Papilledema / Q000503:physiopathology / Q000628:therapy; D012164:Retinal Diseases / Q000503:physiopathology / Q000628:therapy; D012189:Retrospective Studies; D015354:Vision, Low / Q000503:physiopathology / Q000628:therapy*; D014792:Visual Acuity / Q000502:physiology