Spontaneous carotid-cavernous fistula with ophthalmoplegia and facial palsy.
نویسندگان
چکیده
Spontaneous carotid-cavernous fistulae are uncommon. They are seen mostly in association with hypertension, atherosclerosis or intracranial aneurysm (Bickerstaff, 1970). Facial palsy was noted by Walsh (1957) in a case of traumatic carotid-cavernous fistula which recovered in one year. Involvement of the third, fourth, fifth and sixth cranial nerves has been frequently noted (Walsh, 1957; Sattler, 1957; Abrahamson and Bell, 1955). The present case report describes development of facial palsy and ophthalmoplegia following a spontaneous carotid-cavernous fistula.
منابع مشابه
Ophthalmoplegia in carotid cavernous sinus fistula.
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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BACKGROUND Carotid cavernous fistula (CCF) is an abnormal communication between the carotid artery and the cavernous sinus. The pathogenesis of spontaneous CCF remains unclear, although sinus thrombosis is known to be a predisposing factor for dural arteriovenous fistula. Because spontaneous CCFs are mainly of the dural type, we considered that thrombogenic conditions, such as, protein S defici...
متن کاملFacial Palsy and Nystagmus after Transvenous Embolization of a Carotid Cavernous Fistula
Intracranial dural carotid cavernous fistulas account for 10 to 15% of all intracranial arteriovenous malformations. Although these fistulas tend to regress spontaneously, permanent neurological deficits are observed in as many as 20-30% of untreated patients. In general, transvenous or transarterial embolization of the fistula is a safe and successful treatment option. Depending on the amount ...
متن کاملDelayed effects in the treatment of carotid-cavernous fistulas.
Carotid-cavernous fistulas may be classified into: (1) internal carotid, (2) external carotid, or (3) a combination of both. They may result from traumatic or spontaneous rupture of the carotid artery into the cavernous sinus. Intravascular embolization has become the treatment of choice for the management of carotid cavernous fistulas. The authors report the delayed effects after the treatment...
متن کاملSpontaneous carotid cavernous fistula presenting only with cranial nerve palsies.
PURPOSE To discuss the differences in angiographic findings between cases of spontaneous carotid cavernous fistula with and without the classical triad of symptoms (pulsating exophthalmos, bruit, and conjunctival chemosis). METHODS With CT, MR, and angiography, we examined 12 cases of spontaneous carotid cavernous fistula, five of whom presented only with cranial nerve palsies. RESULTS In t...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 58 686 شماره
صفحات -
تاریخ انتشار 1982