Artículos de revistas
Traumatic carotid cavernous fistula associated with a mandibular fracture
Registro en:
International Journal Of Oral And Maxillofacial Surgery. Churchill Livingstone, v. 37, n. 1, n. 86, n. 89, 2008.
0901-5027
WOS:000252093000016
10.1016/j.ijom.2007.06.015
Autor
Paza, AO
Farah, GJ
Passeri, LA
Institución
Resumen
Carotid cavernous sinus fistula is an abnormal vascular interconnection between a branch of the carotid artery and the cavernous sinus. This is an uncommon complication of craniofacial injuries, as it occurs in only 0.17-0.27% of cases, according to the literature. The differential diagnosis should include superior orbital fissure syndrome, orbital apex syndrome, orbital haematoma and cavernous sinus thrombosis. The case is reported of an 18-year-old white woman who was involved in a motor vehicle accident. Clinical examination revealed only mandibular fractures, with the absence of skull-base, mid-face or any other fractures. Two days after the trauma, her condition deteriorated, and extraocular movements were totally absent. Magnetic resonance angiographic scanning was performed, and a carotid cavernous sinus fistula was found. This was treated by embolization resulting in restoration of eye movement and vision. 37 1 86 89