[Post-traumatic carotid-cavernous fistula].
The authors report three cases of carotid-cavernous fistula occurring after severe cranio facial trauma. The diagnosis has been suspected on the association of a pulsatil exophtalmia and systolo-diastolic murmur, and confirmed by arteriography. Embolization was successful in two patients, the third one died from neurologic complication before embolization. The carotid cavernous fistula is a rare but severe complication of a craniofacial trauma. The functional (blindness) and vital prognosis (subarachnoid and intracerebral haemorrage). Treatment by interventional neuroadiology has considerably improved the outcome.
Hmamouchi
B
B
Service d'anesthésie-réanimation des urgences chirurgicales, hôpital 20 août, CHU Ibn Rochd, Casablanca, Maroc. b.hmamouchi@caramail.com
Rakaa
A
A
Alhyene
I
I
Bouderka
M A
MA
Abassi
O
O
D000328:Adult; D020201:Brain Hemorrhage, Traumatic / Q000000981:diagnostic imaging / Q000473:pathology; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000473:pathology*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology*; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005151:Facial Injuries / Q000150:complications / Q000473:pathology*; D005260:Female; D005402:Fistula / Q000473:pathology*; D006801:Humans; D008297:Male