Visual impairment in high flow and low flow carotid cavernous fistula

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چکیده

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High-flow carotid cavernous fistula and the use of a microvascular plug system: initial experience.

PURPOSE We report our initial experience using a detachable microvascular plug system to occlude the internal carotid artery during endovascular treatment of high-flow carotid cavernous fistula. CASE AND TECHNIQUE An 87-year-old patient was admitted for acute-onset double vision with associated right-eye ptosis. Exam revealed a pupil-sparing, partial right third cranial nerve palsy. MRI showe...

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Carotid cavernous fistulas (CCF) are vascular communications between the carotid artery and the cavernous sinus. Ophthalmologists are called to diagnose and manage the condition in cases that present with ocular features. A 73-year-old female was referred to our glaucoma center clinic. Eight years before, she had started receiving medication for glaucoma and had undergone laser iridotomy, but a...

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The aetiology of ophthalmoplegia in 15 patients with carotid-cavernous sinus fistula is discussed, and the clinical findings are correlated with angiographic and orbital CT appearances. After closure of the fistula the majority of patients with generalised ophthalmoplegia recovered full ocular movements rapidly, while patients with an isolated abduction weakness required much longer to return t...

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Cases of the third type are usually commoner in men, but Meadows (1951) has described nine cases of fistulous aneurysm arising spontaneously in middle-aged women. The sequence of events appears to be the development of an aneurysig of the internal carotid artery as it lies within the cavernous sinus bathed in venous blood. This aneurysm is small and silent, a large one being less likely to rupt...

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ژورنال

عنوان ژورنال: Scientific Reports

سال: 2019

ISSN: 2045-2322

DOI: 10.1038/s41598-019-49342-3