Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera

A carotid cavernous fistula is an abnormal communication between a branch of the carotid artery and the cavernous sinus generating an arteriovenous fistula that can cause severe ocular damage. We hereby report two cases of carotid cavernous fistulas. A 69-year-old male with a 2-month history of righ...

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Autores principales:	Charlin E,Raimundo, Pacheco B,Patricio, Villarroel W,Francisco, Urbina A,Fernando
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2004
Materias:	Carotid-cavernous sinus fistula Tomography, x-ray computed Visual acuity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000010
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spelling	oai:scielo:S0034-988720040010000102004-12-15Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la cegueraCharlin E,RaimundoPacheco B,PatricioVillarroel W,FranciscoUrbina A,Fernando Carotid-cavernous sinus fistula Tomography, x-ray computed Visual acuity A carotid cavernous fistula is an abnormal communication between a branch of the carotid artery and the cavernous sinus generating an arteriovenous fistula that can cause severe ocular damage. We hereby report two cases of carotid cavernous fistulas. A 69-year-old male with a 2-month history of right eyelid swelling and red eye aggravated by diplopia, exophthalmus, and limitation of ocular movements one week before consulting. On admisson his visual acuity in the right eye was good (0.5) and biomicroscopy showed arterialization of conjunctival vessels. An orbital CAT scan showed a dilatation of the superior orbital vein characteristic of carotid cavernous fistula. A balloon tamponade of the fistula was performed too late (after 3 weeks) and the eye went blind. A 39-year-old female consulted for an acute proptosis of the right eye and severe visual loss. Biomicroscopy showed arterialization of the conjunctival vessels and the CAT scan disclosed a dilatation of the superior orbital vein. She was immediately subjected to a neuroradiological fistula closure with recovery of visual acuity to 1.0 (20/20). Our main purpose is to emphasize the importance of the opportune diagnosis and treatment of these fistulas to prevent visual loss and eventual blindness, as occurred in our first patient (Rev Méd Chile 2004; 132: 1221-6)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.10 20042004-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000010es10.4067/S0034-98872004001000010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Carotid-cavernous sinus fistula Tomography, x-ray computed Visual acuity
spellingShingle	Carotid-cavernous sinus fistula Tomography, x-ray computed Visual acuity Charlin E,Raimundo Pacheco B,Patricio Villarroel W,Francisco Urbina A,Fernando Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
description	A carotid cavernous fistula is an abnormal communication between a branch of the carotid artery and the cavernous sinus generating an arteriovenous fistula that can cause severe ocular damage. We hereby report two cases of carotid cavernous fistulas. A 69-year-old male with a 2-month history of right eyelid swelling and red eye aggravated by diplopia, exophthalmus, and limitation of ocular movements one week before consulting. On admisson his visual acuity in the right eye was good (0.5) and biomicroscopy showed arterialization of conjunctival vessels. An orbital CAT scan showed a dilatation of the superior orbital vein characteristic of carotid cavernous fistula. A balloon tamponade of the fistula was performed too late (after 3 weeks) and the eye went blind. A 39-year-old female consulted for an acute proptosis of the right eye and severe visual loss. Biomicroscopy showed arterialization of the conjunctival vessels and the CAT scan disclosed a dilatation of the superior orbital vein. She was immediately subjected to a neuroradiological fistula closure with recovery of visual acuity to 1.0 (20/20). Our main purpose is to emphasize the importance of the opportune diagnosis and treatment of these fistulas to prevent visual loss and eventual blindness, as occurred in our first patient (Rev Méd Chile 2004; 132: 1221-6)
author	Charlin E,Raimundo Pacheco B,Patricio Villarroel W,Francisco Urbina A,Fernando
author_facet	Charlin E,Raimundo Pacheco B,Patricio Villarroel W,Francisco Urbina A,Fernando
author_sort	Charlin E,Raimundo
title	Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
title_short	Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
title_full	Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
title_fullStr	Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
title_full_unstemmed	Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
title_sort	fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera
publisher	Sociedad Médica de Santiago
publishDate	2004
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000010
work_keys_str_mv	AT charlineraimundo fistulacarotidocavernosaimportanciadesudiagnosticoytratamientooportunosparaprevenirlaceguera AT pachecobpatricio fistulacarotidocavernosaimportanciadesudiagnosticoytratamientooportunosparaprevenirlaceguera AT villarroelwfrancisco fistulacarotidocavernosaimportanciadesudiagnosticoytratamientooportunosparaprevenirlaceguera AT urbinaafernando fistulacarotidocavernosaimportanciadesudiagnosticoytratamientooportunosparaprevenirlaceguera
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Fístula carótido-cavernosa: importancia de su diagnóstico y tratamiento oportunos para prevenir la ceguera

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