Unilateral vision impairment from a carotid-cavernous fistula after a monobloc osteotomy in a patient with Apert syndrome.
A patient with Apert syndrome who underwent a monobloc osteotomy with distraction advancement sustained partial unilateral vision loss as a complication from a direct carotid-cavernous fistula. Successful embolization was used to treat the fistula. Precaution should be taken by craniofacial surgeons in performing similar procedures in patients with Apert syndrome because of their unique skull abnormalities.
Vyas
Raj M
RM
University of California Los Angeles (UCLA), David Geffen School of Medicine UCLA, Los Angeles, California, USA.
Keagle
Jennifer N
JN
Wexler
Andrew
A
Cahan
Les
L
Kawamoto
Henry K
HK
Lazareff
Jorge
J
Wasson
Kristy L
KL
Bradley
James P
JP
D000168:Acrocephalosyndactylia / Q000601:surgery*; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications*; D002648:Child; D005147:Facial Bones / Q000601:surgery; D005260:Female; D006801:Humans; D010027:Osteotomy / Q000009:adverse effects*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000209:etiology*