Cavernous-Carotid Fistula Presenting with Intracerebral Hemorrhage in the Absence of Ocular Symptoms.
Publication/Presentation Date
5-1-2020
Abstract
BACKGROUND: Cavernous-carotid fistulas (CCFs) can present with a variety of symptoms depending on the anatomy of the fistula and its venous drainage. Patients most commonly present with scleral injection, pulsatile exophthalmos, and/or chemosis.
CASE DESCRIPTION: We report a patient who presented with intraparenchymal hemorrhage in the absence of any of the commonly associated ocular symptoms and signs. After multiple imaging studies, the CCF was diagnosed and treated with endovascular embolization that resulted in complete occlusion of the fistula and reflux of embolysate into one of its connecting veins.
CONCLUSIONS: The morphology of the venous drainage can lead to atypical hemorrhagic presentation, whereas dilatation of one of the tributary veins with cortical venous reflux should warn the interventionist the path the embolysate may follow. We provide our experience with this unique presentation and its treatment.
Volume
137
First Page
338
Last Page
340
ISSN
1878-8769
Published In/Presented At
Mouchtouris, N., Lang, M. J., Stefanelli, A., Hirsch, W., Tjoumakaris, S., Gooch, M. R., Rosenwasser, R., & Jabbour, P. M. (2020). Cavernous-Carotid Fistula Presenting with Intracerebral Hemorrhage in the Absence of Ocular Symptoms. World neurosurgery, 137, 338–340. https://doi.org/10.1016/j.wneu.2020.01.228
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
32035205
Department(s)
Administration and Leadership
Document Type
Article