title: Spontaneous intracerebral hematoma from transient occult carotid-cavernous fistula: a case report.
abstract: After the spontaneous relief of initial symptoms by traumatic carotid-cavernous fistula (CCF), paradoxical worsening of patient's condition can be followed. We present a case of a 60-yr-old man whose audible bruit from a traumatic CCF had completely disappeared. A few days later, however, the patient had spontaneous intracerebral hematoma with cortical venous drainage. Complete obliteration of the fistula was achieved after embolization. When initial audible bruit in traumatic CCF disappears suddenly, cerebral angiography should be performed to differentiate venous hypertension by the hemodynamic changes of the cavernous sinus channels from spontaneous resolution of CCF.
authors.affiliation: Department of Neurosurgery, College of Medicine, Wonkwang University, Iksan, Korea.
authors.forename: Kyung Yun
authors.initials: KY
authors.lastname: Moon
authors.forename: Sung Don
authors.initials: SD
authors.lastname: Kang
mesh_terms: D001921:Brain / Q000473:pathology; D002339:Carotid Arteries / Q000473:pathology; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000473:pathology* / Q000628:therapy; D002533:Cerebral Angiography / Q000379:methods; D020202:Cerebral Hemorrhage, Traumatic / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed / Q000379:methods
references.citation: J Neurosurg. 1983 Oct;59(4):680-6
references.pmid: 6886790
references.citation: Neurology. 1967 Feb;17(2):187-93
references.pmid: 6066878
references.citation: Ann Surg. 1924 Jul;80(1):1-24
references.pmid: 17865057
references.citation: Surg Neurol. 1988 Nov;30(5):387-90
references.pmid: 3055384
references.citation: Klin Monbl Augenheilkd. 1967;150(6):821-7
references.pmid: 5589903
references.citation: Radiology. 1987 May;163(2):437-42
references.pmid: 3562823
references.citation: J Fr Ophtalmol. 1996;19(1):51-4
references.pmid: 8729841
references.citation: J Neurosurg. 1992 Apr;76(4):714-7
references.pmid: 1545269