Traumatic carotid-cavernous fistula with pontomesencephalic and cervical cord venous drainage presenting as tetraparesis.
A 27-year-old male presented with progressive ascending myelopathy leading to tetraparesis. Magnetic resonance imaging of the cervical spine showed dilated perimedullary veins and spinal cord edema. Catheter angiography demonstrated a direct carotid-cavernous fistula (CCF) with prominent pontomesencephalic and perimedullary venous drainage. Successful coil embolization of the fistula was performed with improvement of the patient's symptoms. To our knowledge, no case of a direct CCF with perimedullary drainage has been previously reported.
Herrera
Diego A
DA
Department of Radiology, Neuroradiology Section, Universidad de Antioquia, Medellin, Colombia. herrera.diego@gmail.com
Vargas
Sergio A
SA
Dublin
Arthur B
AB
D000328:Adult; D000792:Angiography; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004621:Embolization, Therapeutic; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging; D016896:Treatment Outcome