Gamma knife radiosurgery as an alternative treatment of Barrow type B carotid cavernous fistulas: A case report.
Medicine (Baltimore)
; 98(22): e15803, 2019 May.
Article
en En
| MEDLINE
| ID: mdl-31145311
ABSTRACT
RATIONALE Barrow type B carotid-cavernous fistulas are dural shunts between the meningeal branches of the internal carotid artery and the cavernous sinus; these types of dural fistulas can produce specific patterns of symptoms based on the pattern of venous drainage. PATIENT CONCERNS AND DIAGNOSES A 67-year-old man came to our hospital presenting with acute left orbital pain and double vision in the left eye. The diagnosis was carotid-cavernous fistula fed by the meningohypophyseal trunk and drained to the left superior ophthalmic vein. INTERVENTIONS AND OUTCOMES:
We planned gamma knife radiosurgery for the left cavernous sinus including fistula point as an alternative treatment. The orbital pain disappeared in 2 weeks, and all signs and symptoms in the left eye completely improved within 2 months. LESSONS Gamma knife radiosurgery may be an alternative treatment for carotid cavernous fistula. Furthermore, in patients with poor vascular access and no fatal presentation, this may be a reasonable first-line treatment option.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Radiocirugia
/
Fístula del Seno Cavernoso de la Carótida
Límite:
Aged
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Humans
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Male
Idioma:
En
Año:
2019
Tipo del documento:
Article