Postpartum Regression of a Spontaneous Carotid-cavernous Fistula —Case Report—

Yoshifumi HIRATA; Yasuhiko MATSUKADO; Hideo TAKESHIMA; Hiroshi SETO

doi:10.2176/nmc.28.673

Postpartum Regression of a Spontaneous Carotid-cavernous Fistula

—Case Report—

Yoshifumi HIRATA, Yasuhiko MATSUKADO, Hideo TAKESHIMA, Hiroshi SETO

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Keywords: carotid-cavernous fistula, estrogen, cerebral thrombosis, complications of pregnancy, exophthalmos

JOURNAL FREE ACCESS

1988 Volume 28 Issue 7 Pages 673-676

DOI https://doi.org/10.2176/nmc.28.673

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Abstract

A spontaneous carotid-cavernous fistula in a 32-year-old female improved without treatment a few days after a normal pregnancy and delivery. The mechanism of spontaneous resolution of the fistula in the postpartum stage may have involved thrombosis of the cavernous sinus due to a change in blood coagulability or a direct effect of estrogen on the vascular wall. The relevant literature is reviewed.

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