| Transsphenoidal computer-navigation-assisted deflation of a balloon after endovascular occlusion of a direct carotid cavernous sinus fistula. | |
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MedLine Citation:
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PMID: 11237982 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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SUMMARY: A 49-year-old woman with a direct posttraumatic carotid cavernous fistula (CCF) was treated with detachable balloons via a transcarotid route. After the procedure, her intracranial bruit, conjunctival injection, and orbital congestion were cured, but the preexistent sixth nerve palsy deteriorated. CT showed one balloon positioned in the posterior portion of the right cavernous sinus and was regarded to be responsible for nerve compression. After surgical exposure by use of a transnasal-transsphenoidal approach under 3D navigation control, this balloon was deflated by puncture with a 22-gauge needle. The previously described symptoms resolved after balloon deflation. This report presents a rare complication of endovascular treatment of direct CCF and a new microsurgical approach to a balloon in a case of nerve compression. |
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Authors:
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J Klisch; J Schipper; H Husstedt; R Laszig; M Schumacher |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: AJNR. American journal of neuroradiology Volume: 22 ISSN: 0195-6108 ISO Abbreviation: AJNR Am J Neuroradiol Publication Date: 2001 Mar |
Date Detail:
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Created Date: 2001-03-12 Completed Date: 2001-06-14 Revised Date: 2008-02-14 |
Medline Journal Info:
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Nlm Unique ID: 8003708 Medline TA: AJNR Am J Neuroradiol Country: United States |
Other Details:
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Languages: eng Pagination: 537-40 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Section of Neuroradiology, University of Freiburg, Freiburg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abducens Nerve Diseases
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etiology,
therapy Balloon Dilatation* Carotid-Cavernous Sinus Fistula / radiography, therapy* Cerebral Angiography Device Removal Embolization, Therapeutic* / adverse effects, instrumentation Female Humans Middle Aged Paralysis / etiology, therapy Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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