[Digital subtraction angiography of cerebrum for diagnosis of cavernous sinus fistula and its intravascular treatment].
OBJECTIVE
To evaluate the diagnosis of digital subtraction angiography (DSA) of cerebral arteries and the intravascular treatment for carotid artery-cavernous sinus fistula (CCF) mainly manifesting as pulsating exophthalmos.


METHODS
Digital subtraction angiography (DSA) of cerebral arteries was carried out for 15 patients with pulsating exophthalmos. Of them, detectable balloon and tungsten filament microcoil were used for intravascular embolism treatment in 12 cases, and the 3 cases with CCF of the branch of external carotid artery were not treated.


RESULTS
Of the 15 cases, 12 were fallen in the CCF of high flow type of unilateral internal carotid artery, and 3 in the CCF of low flow type of unilateral external carotid artery. The symptoms and signs of intravascular embolism disappeared after treatment in 11 cases.


CONCLUSIONS
Cerebral artery DSA and intravascular therapy are the ideal methods for the diagnosis and treatment of CCF mainly manifesting as pulsating exophthalmos.
Hu
Y
Y
Department of Ophthalmology, The First People's Hospital, Guangzhou 510180.
Wang
Z
Z
Quan
W
W
Chen
S
S
Xiao
G
G
Huang
Q
Q
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging* / Q000628:therapy; D004621:Embolization, Therapeutic; D005094:Exophthalmos / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome