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 language | English (US) |
|---|---|
| Pages (from-to) | 8-17 |
| Number of pages | 10 |
| Journal | Journal of Cranio-Maxillofacial Trauma |
| Volume | 3 |
| Issue number | 3 |
| State | Published - 1997 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Surgery
Cite this
Carotid-cavernous sinus fistulae in craniofacial trauma : Classification and treatment. / Jimenez, D. F.; Gibbs, S. R.
In: Journal of Cranio-Maxillofacial Trauma, Vol. 3, No. 3, 1997, p. 8-17.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Carotid-cavernous sinus fistulae in craniofacial trauma
T2 - Classification and treatment
AU - Jimenez, D. F.
AU - Gibbs, S. R.
PY - 1997
Y1 - 1997
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0031427062&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:0031427062
VL - 3
SP - 8
EP - 17
JO - Journal of Cranio-Maxillofacial Trauma
JF - Journal of Cranio-Maxillofacial Trauma
SN - 1074-3219
IS - 3
ER -