title: Transvenous embolization of a carotid cavernous fistula complicated by a hematoma at the tentorial edge.
abstract: Indirect (dural) carotid cavernous fistulae are generally treated by endovascular surgery primary transvenous embolization that is safe and effective. We describe here a case of a left indirect carotid cavernous fistula that presented with proptosis and eye redness. The patient underwent transvenous embolization of carotid cavernous sinus. The procedure was complicated by a haemorrhage from the cavernous sinus. The post procedural CT scan showed a haematoma at the tentorial edge. Precise diagnosis and prompt treatment could prevent severe complications.
authors: Department of Neurosurgery, Mashhad University of Medical Sciences; Mashhad, Iran - Department of Interventional Neuroradiology, A. Rothschild Foundation; Paris, France - humainbv@me.com - humainbv@yahoo.fr.
authors: Humain
authors: H
authors: Baharvahdat
authors: Department of Cardiovascular Diseases, Mashhad University of Medical Sciences; Mashhad, Iran.
authors: Mahmoud M
authors: MM
authors: Shabestari
authors: Department of Neurosurgery, Mashhad University of Medical Sciences; Mashhad, Iran.
authors: Samira
authors: S
authors: Zabihyan
authors: Department of Neurosurgery, Mashhad University of Medical Sciences; Mashhad, Iran.
authors: Hamid
authors: H
authors: Etemadresaei
authors: Department of Interventional Neuroradiology, A. Rothschild Foundation; Paris, France.
authors: Raphäel
authors: R
authors: Blanc
authors: Department of Interventional Neuroradiology, A. Rothschild Foundation; Paris, France.
authors: Michel
authors: M
authors: Piotin
mesh_terms: D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D011859:Radiography; D016896:Treatment Outcome
keywords: carotid cavernous fistula; dural fistula; intracranial hemorrhage; tentorial hematoma