Spontaneous Carotid Cavernous Sinus Fistula Disappeared Following Embolization, Ligation of External Carotid Artery and Irradiation

A 62-year-old female with carotid cavernous sinus fistula (CCF) complained of exophthalmos, periorbital edema, chemosis, diplopia, blephaloptosis and bruits. Cerebral angiography demonstrated mixed typed CCF fed by external and internal carotid arteries. Embolization and ligation of external carotid...

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Bibliographic Details
Published in	Japanese Journal of National Medical Services Vol. 42; no. 11; pp. 1075 - 1077
Main Authors	ENKAKU, Fumihide, ISHIKURA, Akira, IKEDA, Masato
Format	Journal Article
Language	Japanese
Published	Japanese Society of National Medical Services 1988 一般社団法人国立医療学会
Subjects	外頸動脈塞栓・結紮術放射線照射特発性頸動脈海綿静脈洞瘻ろ(CCF)
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ISSN	0021-1699 1884-8729
DOI	10.11261/iryo1946.42.1075

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Summary:	A 62-year-old female with carotid cavernous sinus fistula (CCF) complained of exophthalmos, periorbital edema, chemosis, diplopia, blephaloptosis and bruits. Cerebral angiography demonstrated mixed typed CCF fed by external and internal carotid arteries. Embolization and ligation of external carotid artery and liniac irradiation to the region of fistula were started. Symptoms and signs gradually improved. In the management of spontaneous CCF, these therapeutic modalities were considered one of the effective methods in cases of low flow, low pressure dural fistulas, in surgically inaccessible ones, or in poor risk patients.
ISSN:	0021-1699 1884-8729
DOI:	10.11261/iryo1946.42.1075