title: [Traumatic arteriovenous pial fistula masquerading as a carotid-cavernous fistula: an uncommon disorder with an unusual presentation].
abstract: Traumatic intracranial pial arteriovenous fistulae are infrequent lesions. Their cardinal signs have been related to mass effect and hemorrhage, but their clinical manifestations due to venous retrograde flow into ophthalmic veins has never been described. This phenomenon is usually seen in dural arteriovenous fistula draining to the cavernous sinus or carotid-cavernous sinus fistula.A traumatic intracranial pial arteriovenous fistula arising from the supraclinoid internal carotid artery in a young patient was revealed by aggressive behavior and ophthalmologic manifestations. The endovascular management included the use of coils, stent, and ethylene-vinyl alcohol with transient balloon occlusion of the parent vessel.
authors.affiliation: Servicio de Neurocirugía, Hospital de Especialidades del Centro Médico Nacional, Instituto Mexicano del Seguro Social, México. jorge_santos@unam.mx
authors.forename: Jorge Arturo
authors.initials: JA
authors.lastname: Santos-Franco
authors.forename: Angel
authors.initials: A
authors.lastname: Lee
authors.forename: Giovanna
authors.initials: G
authors.lastname: Nava-Salgado
authors.forename: Marco
authors.initials: M
authors.lastname: Zenteno
authors.forename: Thamar
authors.initials: T
authors.lastname: Gómez-Villegas
authors.forename: Julio César
authors.initials: JC
authors.lastname: Dávila-Romero
mesh_terms: D001164:Arteriovenous Fistula / Q000175:diagnosis*; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis*; D002536:Cerebral Arteries / Q000293:injuries; D002550:Cerebral Veins / Q000293:injuries; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D055815:Young Adult