Direct carotid-cavernous sinus fistula due to ruptured intracavernous aneurysm treated with electrodetachable coils - Case report

被引：7
|
作者：
Nishio, A
Nishijima, Y
Tsuruno, T
Murata, T
Hakuba, A
机构：
[1] Osaka City Univ, Sch Med, Dept Neurosurg, Abeno Ku, Osaka 5458586, Japan
[2] Terakata Ikuno Hosp, Dept Neurosurg, Moriguchi, Osaka, Japan
[3] Murata Hosp, Dept Neurosurg, Osaka, Japan
来源：
NEUROLOGIA MEDICO-CHIRURGICA | 1999年 / 39卷 / 09期
关键词：
carotid-cavernous sinus fistula; detachable coils; interventional neuroangiography; intracranial aneurysm;
D O I：
10.2176/nmc.39.681
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 66-year-old female developed exophthalmos impaired visual acuity (perception of light), and diplopia one day after sudden onset of headache. Neurological examination revealed proptosis, chemosis, impaired vision, and ophthalmoplegia. Carotid angiography showed direct carotid-cavernous sinus fistula concomitant with an intracavernous aneurysm can the right side. Intraaneurysmal embolization using the Guglielmi detachable coils (GDCs) via the transarterial route was performed and complete occlusion of the fistula successfully achieved. The neurological deficits resolved completely by 6 months after embolization. Intraaneurysmal GDC embolization via the transarterial route may be an alternative for the treatment of direct carotid-cavernous sinus fistula due to rupture of intracavernous aneurysm.
引用
收藏
页码：681 / 684
页数：4
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