Jugular venous oxygen monitoring: a helpful technique in the early diagnosis of a traumatic carotid-cavernous sinus fistula.
This report describes the early diagnosis of a right traumatic carotid-cavernous sinus fistula (CCSF) in a patient with head injury manifested as an acute increase in right jugular venous oxygen saturation and with no ophthalmic clinical signs. High values of jugular venous oxygen saturation must be cautiously interpreted with the clinical examination and computed tomographic findings to establish an accurate diagnosis of hyperemia with or without a CCSF.
Carrillo
A
A
Intensive Care Unit, Hospital Son Dureta, Palma de Mallorca, Spain.
Vara
F
F
Abadal
J M
JM
Marsé
P
P
Ibañez
J
J
Pueyo
J
J
D000328:Adult; D002346:Carotid Sinus / Q000293:injuries*; D002405:Catheterization, Central Venous / Q000379:methods; D002426:Cavernous Sinus / Q000293:injuries*; D006259:Craniocerebral Trauma / Q000097:blood* / Q000150:complications; D006801:Humans; D007427:Intracranial Pressure; D007601:Jugular Veins; D008297:Male; D010100:Oxygen / Q000097:blood*; D016157:Vascular Fistula / Q000097:blood* / Q000209:etiology
D010100:Oxygen