Surgical treatment for traumatic carotid-cavernous fistulae: a case report
Keywords:
Carotid-cavernous fistulae, Cavernous sinus, Neurosurgery, Surgical treatment, Vascular trappingAbstract
INTRODUCTION: Carotid–cavernous fistulae is an abnormal communication between the carotid artery and the cavernous sinus, it can be of spontaneous or traumatic origin and it can be classified in direct or indirect fistulae.
CLINICAL CASE: Male patient, 62 years old, treated in neurosurgery service of University Hospital in Morón (Ciego de Ávila) with a diagnosis of direct traumatic carotid-cavernous fistulae. The treatment applied includes the intracavernous carotid trapping and vascular sacrifice technique. The results were satisfactory. Exophthalmos fully disappeared, but right amaurosis persist and a slight clinical recovery in left hemiparesis.
CONCLUSIONS: The trapping and vascular sacrifice technique is a surgical option for selected patients with direct carotid-cavernous fistulae in hospital without endovascular treatment.
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