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Contralateral transvenous approach and embolization with 360° guglielmi detachable coils for the treatment of cavernous sinus dural fistula.

Zenteno M, Jorge SF, Rafael MS, Raphael AH, Gabriel AC, Ángel L - Asian J Neurosurg (2015 Jan-Mar)

Bottom Line: carotid-cavernous fistulas are spontaneours acquired connections between the carotid artery and the cavernous cavernous sinus, being classified as direct or indirect; being usually diagnosed in postmenopausal women, but are also associated with other pathoogies such as pregnancy, sinusitis and cavernous sinus thrombosis.A 51-year-old woman who started her current condition about 4 years ago with pulsatile tinnitus, to which were added progressively: Pain, conjunctival erythema, right eye proptosis and the occasional headache of moderate intensity.The endovascular management of these lesions is currently possible with excellent results.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroradiology and Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Tlalpan, México, Mexico.

ABSTRACT
carotid-cavernous fistulas are spontaneours acquired connections between the carotid artery and the cavernous cavernous sinus, being classified as direct or indirect; being usually diagnosed in postmenopausal women, but are also associated with other pathoogies such as pregnancy, sinusitis and cavernous sinus thrombosis. They are clinically characterized by ophthalmological symptoms and pulsatile tinnitus. A 51-year-old woman who started her current condition about 4 years ago with pulsatile tinnitus, to which were added progressively: Pain, conjunctival erythema, right eye proptosis and the occasional headache of moderate intensity. Caotid-cavernous fistula wes diagnosed, for the technical difficulty inherent in the case was made a contralateral transvenous approach and embolization with 360° GDG coils, with successful evolution of the patient. The endovascular management of these lesions is currently possible with excellent results.

No MeSH data available.


Related in: MedlinePlus

Photograph of AO 1 week after treatment. The proptosis, bipalpebral edema, and congestion of conjunctival vessels are no longer observed (a and b). Eye movements are conserved (c-e)
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Figure 6: Photograph of AO 1 week after treatment. The proptosis, bipalpebral edema, and congestion of conjunctival vessels are no longer observed (a and b). Eye movements are conserved (c-e)

Mentions: 14 Guglielmi detachable coil (GDC) 360° coils (Boston Scientific, Fremont, CA) were used. Final angiographic control showed complete occlusion of the fistula [Figure 5]. The procedure was completed without complications and introducers were removed. The patient went to hospitalization general ward, experiencing absence of the acufenus and craniofacial murmur. At 24 h after embolization, the patient was discharged with a considerable reduction in the erythema, conjunctival congestion and proptosis of RE [Figure 6 and 7]; and with IOP of 15.5 mm Hg, then was suspended ocular hypotensive administration.


Contralateral transvenous approach and embolization with 360° guglielmi detachable coils for the treatment of cavernous sinus dural fistula.

Zenteno M, Jorge SF, Rafael MS, Raphael AH, Gabriel AC, Ángel L - Asian J Neurosurg (2015 Jan-Mar)

Photograph of AO 1 week after treatment. The proptosis, bipalpebral edema, and congestion of conjunctival vessels are no longer observed (a and b). Eye movements are conserved (c-e)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352642&req=5

Figure 6: Photograph of AO 1 week after treatment. The proptosis, bipalpebral edema, and congestion of conjunctival vessels are no longer observed (a and b). Eye movements are conserved (c-e)
Mentions: 14 Guglielmi detachable coil (GDC) 360° coils (Boston Scientific, Fremont, CA) were used. Final angiographic control showed complete occlusion of the fistula [Figure 5]. The procedure was completed without complications and introducers were removed. The patient went to hospitalization general ward, experiencing absence of the acufenus and craniofacial murmur. At 24 h after embolization, the patient was discharged with a considerable reduction in the erythema, conjunctival congestion and proptosis of RE [Figure 6 and 7]; and with IOP of 15.5 mm Hg, then was suspended ocular hypotensive administration.

Bottom Line: carotid-cavernous fistulas are spontaneours acquired connections between the carotid artery and the cavernous cavernous sinus, being classified as direct or indirect; being usually diagnosed in postmenopausal women, but are also associated with other pathoogies such as pregnancy, sinusitis and cavernous sinus thrombosis.A 51-year-old woman who started her current condition about 4 years ago with pulsatile tinnitus, to which were added progressively: Pain, conjunctival erythema, right eye proptosis and the occasional headache of moderate intensity.The endovascular management of these lesions is currently possible with excellent results.

View Article: PubMed Central - PubMed

Affiliation: Department of Neuroradiology and Endovascular Therapy, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Tlalpan, México, Mexico.

ABSTRACT
carotid-cavernous fistulas are spontaneours acquired connections between the carotid artery and the cavernous cavernous sinus, being classified as direct or indirect; being usually diagnosed in postmenopausal women, but are also associated with other pathoogies such as pregnancy, sinusitis and cavernous sinus thrombosis. They are clinically characterized by ophthalmological symptoms and pulsatile tinnitus. A 51-year-old woman who started her current condition about 4 years ago with pulsatile tinnitus, to which were added progressively: Pain, conjunctival erythema, right eye proptosis and the occasional headache of moderate intensity. Caotid-cavernous fistula wes diagnosed, for the technical difficulty inherent in the case was made a contralateral transvenous approach and embolization with 360° GDG coils, with successful evolution of the patient. The endovascular management of these lesions is currently possible with excellent results.

No MeSH data available.


Related in: MedlinePlus