Radiotherapy of spontaneous carotid-cavernous sinus fistulas.
Between 1984 and 1986, 7 patients with spontaneous carotid-cavernous fistulas (CCF) were treated by radiotherapy delivering 3,000 cGy (200 cGy, 5 times per week) to the sellar region. Improvements of clinical signs and symptoms were seen in all patients within 6 months of treatment. During a follow-up period of 7 to 35 months, 6 patients remained in good clinical condition and only one patient developed a recurrence. As an adverse effect, one patient developed early menopause, but no other side-effects or complications were seen. Radiotherapy should be considered in patients with spontaneous CCF, when CCF are seen in middle-high aged patients and progressive without relief of symptoms.
Yasunaga
T
T
Department of Radiology, Kumamoto University Medical School, Japan.
Takada
C
C
Uozumi
H
H
Saito
Y
Y
Ueno
S
S
Hatanaka
Y
Y
Baba
Y
Y
Takahashi
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001164:Arteriovenous Fistula / Q000532:radiotherapy*; D002339:Carotid Arteries; D002426:Cavernous Sinus; D006801:Humans; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects