Traumatic bilateral carotid-cavernous fistulas treated with detachable balloon. A case report.
A 29-year-old male developed ptosis and progressive pulsating protrusion of the right eye, accompanied by conjunctival injection and tinnitus following a bicycle accident. MR angiography revealed dilation of both superior ophthalmic veins and facial veins. Right internal carotid angiography demonstrated right carotid-cavernous fistula (CCF) at the C3 portion of the right internal carotid artery with abnormal venous drainage. After right carotid balloon occlusion test had been performed, a detachable balloon was introduced into the right CCF while preserving the lumen of the right internal carotid artery. A left CCF, which was detected after closure of the right CCF, was also closed with a detachable balloon. Follow-up carotid angiographies showed complete closure of both CCFs and no abnormal venous drainage. After 1 year no abnormal physical manifestations, or abnormal neurologic signs or symptoms were present.
Kim
J K
JK
Department of Radiology, School of Medicine, Chonnam University, Kwangju, Korea.
Seo
J J
JJ
Kim
Y H
YH
Kang
H K
HK
Lee
J H
JH
D000059:Accidents; D000328:Adult; D000800:Angioplasty, Balloon / Q000295:instrumentation*; D001164:Arteriovenous Fistula / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001642:Bicycling / Q000293:injuries; D001763:Blepharoptosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D020212:Carotid Artery Injuries; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D011859:Radiography