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Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report

Carotid-cavernous fistulas are an uncommon diseases characterized by abnormal communications between arteries and veins located in the cavernous sinus. According with Barrow´s classification they could be divided in two groups: direct and indirect. The typical symptoms showed by theses pathologies a...

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Autores principales: Marín-Fernández, Ana-Belén, Cariati, Paolo, Román-Ramos, María, Fernandez-Solis, José, Martínez-Lara, Ildefonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808322/
https://www.ncbi.nlm.nih.gov/pubmed/27034767
http://dx.doi.org/10.4317/jced.52913
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author Marín-Fernández, Ana-Belén
Cariati, Paolo
Román-Ramos, María
Fernandez-Solis, José
Martínez-Lara, Ildefonso
author_facet Marín-Fernández, Ana-Belén
Cariati, Paolo
Román-Ramos, María
Fernandez-Solis, José
Martínez-Lara, Ildefonso
author_sort Marín-Fernández, Ana-Belén
collection PubMed
description Carotid-cavernous fistulas are an uncommon diseases characterized by abnormal communications between arteries and veins located in the cavernous sinus. According with Barrow´s classification they could be divided in two groups: direct and indirect. The typical symptoms showed by theses pathologies are: pulsating exophthalmos and orbital blow. The present study describes a case of direct posttraumatic carotid-cavernous fistula in a 26 years old man. Furthermore, we present the images that we used to make the diagnosis. In this light, we decided to treat this case with endovascular approach after considering several therapeutic options. The aim of the present report is twofold. First, we examine the importance of the proper management of the direct posttraumatic carotid-cavernous fistula. Second, we describe this rare syndrome with the goal of proposing suitable treatments. Key words:Carotid cavernous fistulas, pulsating exophthalmos, orbital blow, endovascular approach, Barrow´s classification.
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spelling pubmed-48083222016-04-01 Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report Marín-Fernández, Ana-Belén Cariati, Paolo Román-Ramos, María Fernandez-Solis, José Martínez-Lara, Ildefonso J Clin Exp Dent Case Report Carotid-cavernous fistulas are an uncommon diseases characterized by abnormal communications between arteries and veins located in the cavernous sinus. According with Barrow´s classification they could be divided in two groups: direct and indirect. The typical symptoms showed by theses pathologies are: pulsating exophthalmos and orbital blow. The present study describes a case of direct posttraumatic carotid-cavernous fistula in a 26 years old man. Furthermore, we present the images that we used to make the diagnosis. In this light, we decided to treat this case with endovascular approach after considering several therapeutic options. The aim of the present report is twofold. First, we examine the importance of the proper management of the direct posttraumatic carotid-cavernous fistula. Second, we describe this rare syndrome with the goal of proposing suitable treatments. Key words:Carotid cavernous fistulas, pulsating exophthalmos, orbital blow, endovascular approach, Barrow´s classification. Medicina Oral S.L. 2016-04-01 /pmc/articles/PMC4808322/ /pubmed/27034767 http://dx.doi.org/10.4317/jced.52913 Text en Copyright: © 2016 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Marín-Fernández, Ana-Belén
Cariati, Paolo
Román-Ramos, María
Fernandez-Solis, José
Martínez-Lara, Ildefonso
Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title_full Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title_fullStr Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title_full_unstemmed Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title_short Posttraumatic carotid-cavernous fistula: Pathogenetic mechanisms, diagnostic management and proper treatment. A case report
title_sort posttraumatic carotid-cavernous fistula: pathogenetic mechanisms, diagnostic management and proper treatment. a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808322/
https://www.ncbi.nlm.nih.gov/pubmed/27034767
http://dx.doi.org/10.4317/jced.52913
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