One-step endovascular treatment of bilateral traumatic carotid-cavernous fistulae with atypical clinical course.
Traumatic carotid-cavernous fistula (TCCF) is a rare neurovascular pathologic entity. The bilateral form occurs even rarer and given the potential risk for both optic tracts presents an urgent indication for quick and effective treatment. We present a patient with a bilateral Barrow type A TCCF with a fulminant development of symptoms, who was successfully treated with bilateral detachable balloons in a single session endovascular procedure. The patient experienced complete relief of symptoms, however the complete neurological deficit in the left optic nerve was persistent.
"Prof. Dr. N. Oblu" Clinical Emergency Hospital Iasi, Romania.
Alexandru
A
Chiriac
Bogdan F
BF
Iliescu
Nicolae
N
Dobrin
Ion
I
Poeata
D000059:Accidents; D000800:Angioplasty, Balloon / Q000379:methods*; D020216:Carotid-Cavernous Sinus Fistula / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged