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01-12-2013 | Review Paper

Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient

Authors: Wellingson Silva Paiva, Almir Ferreira de Andrade, André Beer-Furlan, Iuri Santana Neville, Gustavo S. Noleto, Luca Silveira Bernardo, Jose Guilherme Caldas, Manoel Jacobsen Teixeira

Published in: Child's Nervous System | Issue 12/2013

Abstract

Introduction

Traumatic carotid-cavernous fistula (CCF) in children is a rare condition. Early diagnosis and treatment is still a challenge, and it is associated with good neurological recovery.

Case summary

We present a rare case of a 10-year-old boy with mild head trauma, who developed a CCF at the anterior segment of the ascending internal carotid artery. The patient was treated with endovascular coil embolization and evolved with a favorable outcome.

Discussion

Most of reports in the literature address the traumatic CCF in adult patients, in which early treatment may prevent poor recovery or fatal outcomes. The diagnosis and management of this condition are discussed based on a literature review.

Conclusion

It is important to keep a high degree of suspicion for CCF, especially in traumatic head injury associated with skull base fracture, since the early diagnosis and treatment may prevent potentially permanent neurological deficits.

Barrow DL, Spector RH, Braun IF, Landman J, Tindall SC, Tindall GT (1985) Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg 62:248–256PubMedCrossRef

Bekendam PJ, Bekendam PD (2004) Carotid-cavernous fistula in a child after minimal orbital trauma. J AAPOS 8(4):401–403PubMedCrossRef

Debrun G, Lacour P, Vinuela F, Fox A, Drake CG, Caron JP (1981) Treatment of 54 traumatic carotid-cavernous fistulas. J Neurosurg 55:678–692PubMedCrossRef

Ellis JA, Goldstein H, Connolly ES et al (2012) Carotid-cavernous fistula. Neurosurg Focus 32:E9PubMedCrossRef

Fattahi TT, Brandt MT, Jenkins WS et al (2003) Traumatic carotid-cavernous fistula: pathophysiology and treatment. J Craniofac Surg 14:240–246PubMedCrossRef

Subramanian PS, Williams ZR (2009) Arteriovenous malformations and carotid-cavernous fistulae. Int Ophthalmol Clin 49:81–102PubMedCrossRef

Arseni C, Ghiţescu M, Cristescu A, Mihăilă G, Drăguţoiu E (1970) Traumatic carotido-cavernous fistulas. Psychiatr Neurol Neurochir 73:237–242PubMed

Fabian TS, Woody JD, Ciraulo DL et al (1999) Posttraumatic carotid cavernous fistula: frequency analysis of signs, symptoms, and disability outcomes after angiographic embolization. J Trauma 47(2):275–81PubMedCrossRef

Liang W, Xiaofeng Y, Weiguo L, Wusi Q, Gang S, Xuesheng Z (2007) Traumatic carotid cavernous fistula accompanying basilar skull fracture: a study on the incidence of traumatic carotid cavernous fistula in the patients with basilar skull fracture and the prognostic analysis about traumatic carotid cavernous fistula. J Trauma 63(5):1014–1020PubMedCrossRef

10.

Gupta AK, Purkayastha S, Krishnamoorthy T, Bodhey NK, Kapilamoorthy TR, Kesavadas C, Thomas B (2006) Endovascular treatment of direct carotid cavernous fistulae: a pictorial review. Neuroradiology 48(11):831–839PubMedCrossRef

11.

Kim JW, Kim SJ, Kim MR (2013) Traumatic carotid-cavernous sinus fistula accompanying abducens nerve (VI) palsy in blowout fractures: missed diagnosis of ‘white-eyed shunt’. Int J Oral Maxillofac Surg 42:470–473PubMedCrossRef

12.

Koekkoek JAF, Lycklama à Nijeholt GJ, Jellema K, Walchenbach R (2013) Traumatic carotid-cavernous fistula combined with pseudoaneurysm requires immediate treatment. BMJ Case Rep. doi:10.1136/bcr-2013-009013, bcr-2013-009013PubMed

13.

Nguyen T, Cho YH, Jang YJ, Park MC, Shin SJ (2013) Long delayed traumatic carotid-cavernous sinus fistula. J Craniofac Surg 24(3):e237–e239PubMedCrossRef

14.

Tseng CH, Wu KL, Tsai SJ, Lew HL (2013) Development of carotid cavernous fistula after traumatic brain injury. Am J Phys Med Rehabil 92(2):187–188PubMedCrossRef

15.

Wyrick D, Smith SD, Dassinger MS (2013) Traumatic carotid-cavernous fistula presenting as massive epistaxis. J Pediatr Surg 48(4):883–886PubMedCrossRef

16.

Bierenbroodspot F, Van Damme PA, Cruysberg JR (2005) A noisy zygoma fracture—complication of carotid-cavernous sinus fistula: total recovery of monocular blindness and frozen eye after endoarterial coil embolization. Int J Oral Maxillofac Surg 34:214–219PubMedCrossRef

17.

Paza AO, Farah GJ, Passeri LA (2008) Traumatic carotid cavernous fistula associated with a mandibular fracture. Int J Oral Maxillofac Surg 37:86–89PubMedCrossRef

18.

Selky AK, Purvin VA (1994) Isolated trochlear nerve palsy secondary to dural carotid-cavernous sinus fistula. J Neuroophthalmol 14:52–54PubMed

19.

Wang W, Li YD, Li MH, Tan HQ, Gu BX, Wang J, Zhang PL (2011) Endovascular treatment of post-traumatic direct carotid-cavernous fistulas: a single-center experience. J Clin Neurosci 18(1):24–28PubMedCrossRef

20.

Argo A, Bono G, Zerbo S, Triolo V, Liotta R, Procaccianti P (2008) Post-traumatic lethal carotid-cavernous fistula. J Forensic Leg Med 15(4):266–268PubMedCrossRef

21.

Delgado Almandoz JE, Kelly HR, Schaefer PW, Lev MH, Gonzalez RG, Romero JM (2010) Prevalence of traumatic dural venous sinus thrombosis in high-risk acute blunt head trauma patients evaluated with multidetector CT venography. Radiology 255:570–577PubMedCrossRef

22.

Jimenez DF, Gibbs SR (1997) Carotid-cavernous sinus fistula in craniofacial trauma: classification and treatment. J Craniomaxillofac Trauma 3:9–18

23.

Gemmete JJ, Ansari SA, Gandhi DM (2009) Endovascular techniques for treatment of carotid–cavernous fistula. J Neuroophthalmol 29:62–71PubMedCrossRef

24.

Tiewei Q, Ali A, Shaolei G et al (2010) Carotid cavernous fistulas treated by endovascular covered stent grafts with follow-up results. Br J Neurosurg 24:435–440PubMedCrossRef

25.

Li J, Lan ZG, Xie XD, You C, He M (2010) Traumatic carotid-cavernous fistulas treated with covered stents: experience of 12 cases. World Neurosurg 73(5):514–519PubMedCrossRef

Title: Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient
Authors: Wellingson Silva Paiva
Almir Ferreira de Andrade
André Beer-Furlan
Iuri Santana Neville
Gustavo S. Noleto
Luca Silveira Bernardo
Jose Guilherme Caldas
Manoel Jacobsen Teixeira
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 12/2013
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-013-2303-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient

Abstract

Introduction

Case summary

Discussion

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Case summary

Discussion

Conclusion

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