Document Detail

Carotid cavernous fistula with cervical myelopathy.
MedLine Citation:
PMID:  19570682     Owner:  NLM     Status:  MEDLINE    
We report a patient with carotid cavernous fistula (CCF) presenting with cervical myelopathy. The patient initially presented with ocular pain accompanied by binocular diplopia and was diagnosed with Tolosa-Hunt syndrome at another institution. This patient experienced long-standing venous hypertension due to the delay in diagnosis. Posterior venous drainage from the CCF caused venous congestion in the brainstem and cervical spinal cord causing cervical myelopathy. Glue embolization using n-butyl-2-cyanoacrylate was attempted, but only partial embolization was possible because access to feeding arteries was limited. Stereotactic gamma-knife radiosurgery was performed as an alternative treatment, and effectively obliterated the CCF. However, the patient remained disabled due to cervical cord atrophy associated with long-standing venous hypertension.
Sang-Bae Ko; Chi Kyung Kim; Seung-Hoon Lee; Byung-Woo Yoon
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-06-30
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  16     ISSN:  0967-5868     ISO Abbreviation:  -     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-08-26     Completed Date:  2009-10-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1350-3     Citation Subset:  IM    
Department of Neurology, Clinical Research Center for Stroke, Clinical Research Institute, College of Medicine, Seoul National University Hospital, Yongon-dong 28, Chongno-gu, Seoul, 110-744, Korea.
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MeSH Terms
Carotid-Cavernous Sinus Fistula / complications*,  radiography,  therapy
Cervical Vertebrae / pathology
Coronary Angiography / methods
Embolization, Therapeutic / methods
Magnetic Resonance Imaging / methods
Medulla Oblongata / radiography
Middle Aged
Spinal Cord Diseases / complications*,  pathology

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