Pats service danesthesiereanimation, hopital dinstruction des armees percy, 101, avenue henri. The potentially sightrobbing vascular abnormality known as the carotidcavernous sinus fistula ccf can masquerade as conjunctivitis or other common ocular conditions, which diminishes the chance for a speedy diagnosis. Direct spontaneous carotidcavernous fistula sccf is reportedly pathognomonic of veds. Spontaneous carotidcavernous fistula and multiple arterial. Endovascular management of carotidcavernous fistula in. Fistule carotidocaverneuse indirecte post traumatique ncbi. Posttraumatic carotidcavernous sinus fistula by jeanpierre lemaitre, sophie jamart, florence lefranc, valerie julien, thierry roger and jean louis vincent. A ptient is described with a ruptured intracavernous aneurysm causing a ccf resulting in acute onset of. Les fistules sont generalement le resultat dun etat.
Temporary venous thrombosis of the ipsilateral ophthalmic vein and inferior petrosal sinus is likely. These aneurysms usually cause neurological symptoms due to gradual expansion without rupture. Le diagnostic clinique est evoque sur des signes ophtalmiques et orbitaires. A patient is described with ehlers danlos syndrome presenting with spontaneous carotid cavernous fistula, in whom there was biochemical evidence for defective type iii collagen synthesis. We conducted this study to understand the possible mechanisms of occurrence of sccf in this subset of patients. Fistule carotidocaverneuse posttraumatique journal. Successful treatment by detachable balloon with occlusion of the carotid siphon.
Successful treatment by detachable balloon with occlusion of the carotid. This subcategory remained the most malignant form of eds our patient had a direct cavernous fistula, characterized by carotid arterial blood shunting directly into. Fistules carotidocaverneuses bilaterales spontanees. We conducted a retrospective analysis of a monocentric veds cohort along with a. The full text of this article is available in pdf format. Echodoppler orbitaire flux inverse dirige vers lavant regression spontanee possible ix. Carotid cavernous fistula due to a ruptured intracavernous. Author links open overlay panel boutahar imane benabdellah fatima zahra oulad amar asmae nasri siham kamaoui imane skiker imane. Lapparition dune fistule carotidocaverneuse entraine des symptomes pathognomoniques, dont les principaux sont.
Post traumatic, indirect carotid cavernous fistula. Spontaneous bilateral carotidcavernous fistulae and cervical artery dissection is reported in a 20yearold woman with ehlersdanlos syndrome type iv. To report a rare occurrence combination of central retinal artery occlusion crao and terson syndrome in a barrows type a carotid cavernous fistula ccf patient. In the 1960s, the vascular component of eds was recognized, and eds 4, the vascular type, was identified by andras barbaras. Journal francais dophtalmologie presentation em consulte. Echodoppler orbitaire flux inverse dirige vers lavant regression spontanee possible penser a lexophtalmie. It is the thirteenth reported case in the literature since 1907. Le signe pathognomonique est lexophtalmie pulsative. Left carotidocavernous fistula with right exophthalmos. Carotid cavernous fistula with central retinal artery.
Fistule carotidocaverneuse, exophtalmie, hypertonie oculaire, embolisation. Nous vous racontons ses causes, son diagnostic et son traitement. Il peut y avoir fistule carotidocaverneuse dans le sinus caverneux. Traitement endovasculaire des fistules carotidocaverneuses. Mechanism of the exclusively contralateral exophthalmos is discussed. Fistule carotidocaverneuse indirecte post traumatique. A twentyyearold male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. A 43yearold woman without phenotypic expression of ehlersdanlos syndrome developed a spontaneous unilateral carotidcavernous fistula ccf. Spontaneous carotidcavernous fistulae in ehlersdanlos.
This article is from march 2008 and may contain outdated material. Fistules carotidocaverneuses posttraumatiques a propos dun. Une masse palpebrale revelant une fistule carotidocaverneuse. Fait clinique case report embolisation transveineuse d. A mass of the eyelid revealing a carotidcavernous fistula. Pathophysiology of carotidcavernous fistulas in vascular.
A carotidcavernous sinus fistula is an abnormal connection that forms between a carotid artery in your neck and the network of veins at the back of your eye. Com is registrered at the cnil, declaration n 1286925. Endovascular management of carotidcavernous fistula in ehlersdanlos syndrome type iv suraj mammen 1, shyamkumar n keshava 1, sumita danda 2, renu raju 3, ari g chacko 4 1 department of radiology, christian medical college, vellore, tamil nadu, india 2 department of medical genetics, christian medical college, vellore, tamil nadu, india 3 department of ophthalmology, christian medical college. A case of left carotidocavernous fistula with right exophthalmos is reported. Fistule carotido caverneuse, exophtalmie, hypertonie oculaire, embolisation. Efsing a fistula between the internal carotid artery and the cavernous sinus is usually caused by trauma but may result from spontaneous rupture of an aneurysm, as a rule a n. Irrespective of the pathogenesis, arterial blood will be shunted in retrograde direction from the cavernous sinus into the superior ophthalmic vein. Vascular ehlersdanlos syndrome veds is a rare condition characterized by connective tissue fragility. Efsing a fistula between the internal carotid artery and the cavernous sinus is usually caused by trauma but may result from spontaneous rupture of an aneurysm, as a rule a n arteriosclerotic one. Translate caverneuse from french to italian mymemory. As per the law relating to information storage and personal integrity, you have the right to oppose art 26 of that law, access art 34 of that law and rectify art 36 of that law your personal data. Intracavernous carotid artery aneurysms causing a carotidcavernous fistula ccf are rare.
Fistules carotidocaverneuses posttraumatiques association. They can be classified as direct or indirect which are separate conditions with different etiologies. Spontaneous carotid cavernous fistula in ehlers danlos. Fistule carotidocaverneuse avec symptomatologie contralaterale. Caroticocavernous fistulas ccf represent abnormal communication between the carotid circulation and the cavernous sinus. Pdf fistules carotidocaverneuses bilaterales spontanees. Abstract we report the case of a patient diagnosed, treated and followed for direct. Caroticocavernous fistula radiology reference article. If they do rupture they most often lead to a ccf instead of bleeding into the subarachnoid space. Une angioirm photo n 2 a ete realisee et sest revelee normale infirmant alors ce diagnostic.
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