Successful closure of trigemino-cavernous fistula with minimally invasive approach.
BMJ Case Rep
; 15(2)2022 Feb 09.
Article
in En
| MEDLINE
| ID: mdl-35140092
ABSTRACT
A male in his early teens presented with redness of the right eye following a fall. This redness was progressive and increased suddenly over the week prior to presentation. Fundus evaluation revealed an exudative retinal detachment, and a bruit was audible over the right eye. A digital subtraction angiogram revealed the cause to be a ruptured persistent trigeminal artery aneurysm causing a carotid-cavernous fistula like haemodynamic situation with a massively dilated superior ophthalmic vein. Curative embolisation was done using both vertebrobasilar and carotid approach, and the aneurysm as well as the fistula was occluded using detachable coils and n-butyl cyanoacrylate glue. Patient made a complete recovery in his proptosis and chemosis over 8 weeks, with significant improvement of his visual acuity. The key to successful outcome in this case was a complete occlusion with thrombosis of the fistula bed that can only be achieved using a combination of coils and liquid embolic agents.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cavernous Sinus
/
Exophthalmos
/
Carotid-Cavernous Sinus Fistula
/
Embolization, Therapeutic
Type of study:
Etiology_studies
Limits:
Adolescent
/
Humans
/
Male
Language:
En
Journal:
BMJ Case Rep
Year:
2022
Document type:
Article
Affiliation country:
India