[Matas procedure in the treatment of spontaneous carotid cavernous sinus fistula: a complication of retinal hemorrhage].
We herein report three cases of the dural internal type of spontaneous carotid cavernous sinus fistula (SCCF) which seemed to be improved by the Matas procedure. Sequential cerebral angiography revealed that thrombosis formation in the peripheral side of the draining vein resulted in a closure of the fistula. During this course of spontaneous regression, retinal findings were transiently exacerbated in some cases. The retinal hemorrhage seemed to be induced by central retinal vein occlusion and hypoxic retinopathy which preceded the spontaneous regression of SCCF. It was confirmed that the Matas procedure should be tried as the first choice for the treatment of SCCF, particularly in the dural internal type. However, fundus findings must be carefully monitored.
Miki
T
T
Department of Neurosurgery, Mito Red-Cross Hospital.
Nagai
K
K
Saitoh
Y
Y
Onodera
Y
Y
Ohta
H
H
Ikoma
H
H
D001164:Arteriovenous Fistula / Q000150:complications / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000150:complications / Q000601:surgery*; D002426:Cavernous Sinus; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D012166:Retinal Hemorrhage / Q000150:complications