Document Detail

Spontaneous carotid-cavernous fistula supplied by the contralateral meningohypophyseal trunk: case report and literature review.
MedLine Citation:
PMID:  20436398     Owner:  NLM     Status:  MEDLINE    
Carotid-cavernous sinus fistulas (CCF) are abnormal communications between the carotid artery and the cavernous sinus. Most spontaneous CCFs are low-flow fistulas, supplied by branches of the omolateral internal carotid artery or the external carotid artery. A 64-year-old man, with increasing diplopia, mild exophthalmos on the left side, blurred left vision and omolateral red eye, was admitted to our institution. The patient underwent a bilateral cerebral angiography that showed a left CCF fed by meningo-hypophyseal branches of the right internal carotid artery and draining from the cavernous sinus into a parahippocampal vein. A transarterial embolization of the carotid-cavernous fistula was performed, with complete obliteration of the fistula. Although anecdotal reports exist, there is a scarcity of well-documented cases of exclusively contralateral flow in the carotid-cavernous fistula. Most of the reported cases referred to contralateral flow into the carotid-cavernous fistula by the external carotid artery branches. To the best of our knowledge, there are no previous cases of a spontaneous CCF supplied by contralateral meningo-hypophyseal branches. A discussion of treatment options and a literature review are also performed.
R De Blasi; P I D'Urso; A Colamaria; G Occhiogrosso; P Ciappetta
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of neurosurgical sciences     Volume:  54     ISSN:  0390-5616     ISO Abbreviation:  J Neurosurg Sci     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-09-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0432557     Medline TA:  J Neurosurg Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  45-8     Citation Subset:  IM    
Department of Neurological Sciences, Section of Neuroradiology, University of Bari Medical School, Bari, Italy.
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MeSH Terms
Arteriovenous Fistula / radiography*
Carotid Artery Diseases / radiography*
Cavernous Sinus / radiography*
Cerebral Angiography
Cerebrovascular Circulation
Meningeal Arteries / radiography*
Middle Aged
Pituitary Gland / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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