Carotid-cavernous sinus fistulae in craniofacial trauma

classification and treatment.

D. F. Jimenez, S. R. Gibbs

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Carotid-cavernous sinus fistulae (CCF) represent pathological communications between the intracavernous internal carotid artery and the cavernous venous sinus. Although trauma is the most common cause of high flow carotid cavernous fistulae, they are relatively uncommon in patients sustaining craniofacial trauma. Nevertheless, CCF require early diagnosis and rapid and effective treatment in order to prevent severe and significant morbidity. Clinical presentation may include pulsatile proptosis, ocular and orbital erythema, chemosis, diplopia, headaches, and visual loss. Cerebral angiography is currently the definitive diagnostic study. Obliteration of the fistula by endovascular techniques is the current mainstay treatment, and direct surgery is reserved for cases that have failed endovascular therapy. This article reviews clinical features, pertinent anatomy, and therapeutic approaches to carotid-cavernous sinus fistulae.

Original languageEnglish (US)
Pages (from-to)7-15
Number of pages9
JournalThe Journal of cranio-maxillofacial trauma
Volume1
Issue number3
StatePublished - Sep 1995
Externally publishedYes

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Carotid-Cavernous Sinus Fistula
Wounds and Injuries
Fistula
Cavernous Sinus
Endovascular Procedures
Cerebral Angiography
Exophthalmos
Diplopia
Internal Carotid Artery
Therapeutics
Erythema
Headache
Early Diagnosis
Anatomy
Communication
Morbidity

ASJC Scopus subject areas

  • Surgery

Cite this

Carotid-cavernous sinus fistulae in craniofacial trauma : classification and treatment. / Jimenez, D. F.; Gibbs, S. R.

In: The Journal of cranio-maxillofacial trauma, Vol. 1, No. 3, 09.1995, p. 7-15.

Research output: Contribution to journalArticle

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