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[Embolization of indirect carotid-cavernous sinus fistula through the ophthalmic vein].
Neurocirugia (Astur). 2008 Aug; 19(4):338-42.N

Abstract

Indirect or dural carotid cavernous fistulas are abnormal connections between the cavernous sinus and meningeal branches of the external and/or internal carotid arteries. Most of them are idiopathic and occurs spontaneously. Symptoms vary from a tiny episcleral injection to a severe visual loss. Conservative therapy is recomended in cases with few symptoms and no leptomeningeal drainage, as spontaneous resolution is not infrequent. Whenever symptoms worsen, treatment of the fistula should be prescribed. Nowadays, transvenous endovascular treatment consisting of packing the cavernous sinus is the first choice. In most cases, cavernous sinus can be approached through the inferior petrosal sinus. However, sometimes that is not possible, and an approach directly through the superior ophthalmic vein could be necessary. We report a case of a patient with a dural carotid cavernous fistula treated with embolization of the cavernous sinus through the ophthalmic vein.

Authors+Show Affiliations

Servicio de Neurocirugía, Hospital 12 de Octubre, Madrid.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

spa

PubMed ID

18726044

Citation

Alén, J F., et al. "[Embolization of Indirect Carotid-cavernous Sinus Fistula Through the Ophthalmic Vein]." Neurocirugia (Asturias, Spain), vol. 19, no. 4, 2008, pp. 338-42.
Alén JF, Campollo J, Rivas JJ, et al. [Embolization of indirect carotid-cavernous sinus fistula through the ophthalmic vein]. Neurocirugia (Astur). 2008;19(4):338-42.
Alén, J. F., Campollo, J., Rivas, J. J., Lagares, A., Pascual, B., Jiménez-Roldán, L., & Lobato, R. D. (2008). [Embolization of indirect carotid-cavernous sinus fistula through the ophthalmic vein]. Neurocirugia (Asturias, Spain), 19(4), 338-42.
Alén JF, et al. [Embolization of Indirect Carotid-cavernous Sinus Fistula Through the Ophthalmic Vein]. Neurocirugia (Astur). 2008;19(4):338-42. PubMed PMID: 18726044.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Embolization of indirect carotid-cavernous sinus fistula through the ophthalmic vein]. AU - Alén,J F, AU - Campollo,J, AU - Rivas,J J, AU - Lagares,A, AU - Pascual,B, AU - Jiménez-Roldán,L, AU - Lobato,R D, PY - 2008/8/30/pubmed PY - 2008/10/22/medline PY - 2008/8/30/entrez SP - 338 EP - 42 JF - Neurocirugia (Asturias, Spain) JO - Neurocirugia (Astur) VL - 19 IS - 4 N2 - Indirect or dural carotid cavernous fistulas are abnormal connections between the cavernous sinus and meningeal branches of the external and/or internal carotid arteries. Most of them are idiopathic and occurs spontaneously. Symptoms vary from a tiny episcleral injection to a severe visual loss. Conservative therapy is recomended in cases with few symptoms and no leptomeningeal drainage, as spontaneous resolution is not infrequent. Whenever symptoms worsen, treatment of the fistula should be prescribed. Nowadays, transvenous endovascular treatment consisting of packing the cavernous sinus is the first choice. In most cases, cavernous sinus can be approached through the inferior petrosal sinus. However, sometimes that is not possible, and an approach directly through the superior ophthalmic vein could be necessary. We report a case of a patient with a dural carotid cavernous fistula treated with embolization of the cavernous sinus through the ophthalmic vein. SN - 1130-1473 UR - https://www.unboundmedicine.com/medline/citation/18726044/[Embolization_of_indirect_carotid_cavernous_sinus_fistula_through_the_ophthalmic_vein]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/4 DB - PRIME DP - Unbound Medicine ER -