Stereotactic radiosurgery in the treatment of a dural carotid-cavernous fistula.
Because of the success of stereotactic radiosurgery (SRS) in the treatment of cerebral arteriovenous malformations (AVMs), SRS is being applied to the treatment of carotid-cavernous dural arteriovenous fistulas (CCDAVFs) when these lesions are not accessible endovascularly. We report a patient with a CCDAVF that could not be accessed endovascularly on 2 attempts, whose fistula was successfully closed with SRS, a less invasive modality than endovascular embolization. Further experience with SRS in this role will be necessary to determine its utility.
Chong
Gabriel T
GT
Department of Ophthalmology, 2351 Erwin Road, Duke University Eye Center, DUMC 3802, Durham, NC 27710-3802, USA.
Mukundan
Srinivasan
S
Kirkpatrick
John P
JP
Zomorodi
Ali
A
Sampson
John H
JH
Bhatti
M Tariq
MT
D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002426:Cavernous Sinus / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005094:Exophthalmos / Q000209:etiology; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016634:Radiosurgery / Q000379:methods*; D012164:Retinal Diseases / Q000209:etiology / Q000503:physiopathology; D012169:Retinal Vein / Q000503:physiopathology; D016896:Treatment Outcome