Endoscopic Endonasal Orbital Apex Decompression for Carotid Cavernous Fistula

被引:0
|
作者
Shaikh, Noah [1 ]
Leonard, Anthony [2 ]
Patton, Caitlyn [3 ]
Boo, SoHyun [4 ]
Nguyen, John [2 ]
Turner, Meghan [1 ]
机构
[1] West Virginia Univ, Otolaryngol Head & Neck Surg Dept, Morgantown, WV 26506 USA
[2] West Virginia Univ, Dept Ophthalmol, Morgantown, WV 26506 USA
[3] West Virginia Univ, Sch Med, Morgantown, WV 26506 USA
[4] West Virginia Univ, Dept Neuroradiol, Morgantown, WV 26506 USA
关键词
D O I
10.1177/01455613211030347
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Significance Statement This case report demonstrates a novel approach to treating a rare indirect carotid cavernous fistula (CCF) and associated abducens palsy. Although endovascular treatment is the standard of care in the management of CCFs, it was contraindicated in this patient. Instead, she underwent an endoscopic endonasal approach (EEA) with decompression of the medial orbital apex, including the cavernous sinus and optic nerve, with complete resolution of headache, lateral gaze palsy, and diplopia within 2 months.
引用
收藏
页码:693 / 695
页数:3
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