Turkish Neurosurgery 2014 , Vol 24 , Num 3
One-Step Endovascular Treatment of Bilateral Traumatic Carotid‐Cavernous Fistulae with Atypical Clinical Course
Alexandru CHIRIAC1,2*, Bogdan F. ILIESCU1*, Nicolae DOBRIN1, Ion POEATA1,2
1“Prof. Dr. N. Oblu” Clinical Emergency Hospital Iasi, Romania
2“Gr. T. Popa” University of Medicine and Pharmacy Iasi, Romania
*These authors contributed equally to this paper.
DOI : 10.5137/1019-5149.JTN.8004-13.1 Traumatic carotid-cavernous fistula (TCCF) is a rare neurovascular pathologic entity. The bilateral form occurs even rarer and given the potential risk for both optic tracts presents an urgent indication for quick and effective treatment. We present a patient with a bilateral Barrow type A TCCF with a fulminant development of symptoms, who was successfully treated with bilateral detachable balloons in a single session endovascular procedure. The patient experienced complete relief of symptoms, however the complete neurological deficit in the left optic nerve was persistent. Keywords : Traumatic carotid-cavernous fistulae, Endovascular, Treatment, Balloon
Corresponding author : Bogdan F. Ilřescu, bogdan.iliescu@gmail.com