A case of Delayed Carotid Cavernous Fistula After Facial Gunshot Injury presented as loss of vision with Symptom Resolution After Endovascular Closure Procedure

Alagöz, Fatíh; Yılmaz, Fevzi; Sönmez, Bedriye Müge; Yıldırım, Ali Erdem; Karakılıç, Muhammed Evvah

doi:10.5505/tjtes.2015.18234

Cited by 2 publications

(2 citation statements)

References 15 publications

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“… 21 Moreover, endovascular techniques could also be applied in vascular complications, such as arteriovenous fistula and traumatic intracranial aneurysms. 22 , 23 , 24 …”

Section: Discussionmentioning

confidence: 99%

Trans-base and trans-vault low-velocity penetrating brain injury: A retrospective comparative study of characteristics, treatment, and outcomes

Chen

et al. 2021

Chinese Journal of Traumatology

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Purpose Low-velocity penetrating brain injury (LVPBI) caused by foreign bodies can pose life-threatening emergencies. Their complexity and lack of validated classification data have prevented standardization of clinical management. We aimed to compare the trans-base and trans-vault phenotypes of LVPBI to help provide guidance for clinical decision-making of such injury type. Methods A retrospective study on LVPBI patients managed at our institution from November 2013 to March 2020 was conducted. We included LVPBI patients admitted for the first time for surgery, and excluded those with multiple injuries, gunshot wounds, pregnancy, severe blunt head trauma, etc. Patients were categorized into trans-base and trans-vault LVPBI groups based on the penetration pathway. Discharged patients were followed up by outpatient visit or telephone. The data were entered into the Electronic Medical Record system by clinicians, and subsequently derived by researchers. The demography and injury characteristics, treatment protocols, complications, and outcomes were analyzed and compared between the two groups. A t -test was used for analysis of normally distributed data, and a Mann-Whitney U test for non-parametric data. A generalized linear model was further established to determine whether the factors length of stay and performance scale score were influenced by each factor. Results A total of 27 LVPBI patients were included in this analysis, comprised of 13 (48.1%) trans-base cases and 14 (51.9%) trans-vault cases. Statistical analyses suggested that trans-base LVPBI was correlated with deeper wounds; while the trans-vault phenotype was correlated with injury by metal foreign bodies. There was no difference in Glasgow Coma Scale score and the risk of intracranial hemorrhage between the two groups. Surgical approaches in the trans-base LVPBI group included subfrontal ( n = 5, 38.5%), subtemporal ( n = 5, 38.5%), lateral fissure ( n = 2, 15.4%), and distal lateral ( n = 1, 7.7%). All patients in the trans-vault group underwent a brain convex approach using the foreign body as reference ( n = 14, 100%). Moreover, the two groups differed in application prerequisites for intracranial pressure monitoring and vessel-related treatment. Trans-base LVPBI was associated with higher rates of cranial nerve and major vessel injuries; in contrast, trans-vault LVPBI was associated with lower functional outcome scores. Conclusion Our findings suggest that trans-base and trans-vault LVPBIs differ in terms of characteristics, treatment, and outcomes. Further understanding of these differences may help guide clinical decisions and contribute to a better management of LVPBIs.

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“… 21 Moreover, endovascular techniques could also be applied in vascular complications, such as arteriovenous fistula and traumatic intracranial aneurysms. 22 , 23 , 24 …”

Section: Discussionmentioning

confidence: 99%

Trans-base and trans-vault low-velocity penetrating brain injury: A retrospective comparative study of characteristics, treatment, and outcomes

Chen

et al. 2021

Chinese Journal of Traumatology

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“…(JAUME et al, 2013;XIAOJIAN et al, 2014;WANG et al, 2009) Nos casos de formação de FCCs provocadas por trauma, a embolização da fístula por balões ou espirais destacáveis tornou-se um dos procedimentos de escolha. (ALAGÖZ et al, 2016) O aspecto vantajoso do emprego de espirais é a melhor controlabilidade da mesma pelo cirurgião, a capacidade de ser reposicionada e a fácil recuperação do procedimento pelo paciente. Além disso, a disponibilidade de uma variedade de tamanhos desse dispositivo embólico também favorece sua aplicação, pois o uso de espirais mais longas e grossas, por exemplo, pode reduzir o número total de espirais utilizadas no procedimento.…”

Section: Detalhamento Do Casounclassified

Fistula carotídeo-cavernosa secundária a trauma cranioencefálico em criança: um relato de caso / Carotid-cavernous fistula secondary to head trauma in a child: a case report

Carvalho¹,

Gomes²

2022

Braz. J. Hea. Rev.

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A fístula carotídeo-cavernosa (FCC) é uma comunicação anormal entre o sistema carotídeo e o seio cavernoso. Aproximadamente 75% de todas as FCCs são causadas por traumas, enquanto 25% desenvolvem-se espontaneamente. Paciente masculino de 10 anos de idade, após sofrer trauma cranioencefálico por coice de cavalo, evoluiu com exoftalmia, hiperemia em olho direito e cefaleia holocraniana. Ao exame físico, o olho direito apresentava uma importante proptose, hiperemia conjutival com ingurgitamento de vasos ipsilaterais, lagoftalmo bem como sopros em órbita do mesmo lado, além de desalinhamento do olhar. Por meio da angio-TC de crânio evidenciou-se uma dilatação do seio cavernoso direito e da veia oftálmica correspondente, determinando a proptose ocular. Concluiu-se, portanto, a existência de uma fístula carotídeocavernosa à direita. Posteriormente, foram realizados angiografia cerebral e embolização de fístula carotídeo-cavernosa à direita, utilizando 28 espirais para ocluir a fístula. Após embolização eficaz, o paciente se recuperou dos sintomas, sem nenhum outro déficit neurológico além do estrabismo. Dado a gravidade dessa entidade, o diagnóstico e tratamento devem ser realizados o mais precoce possível.

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A case of Delayed Carotid Cavernous Fistula After Facial Gunshot Injury presented as loss of vision with Symptom Resolution After Endovascular Closure Procedure

Cited by 2 publications

References 15 publications

Trans-base and trans-vault low-velocity penetrating brain injury: A retrospective comparative study of characteristics, treatment, and outcomes

Trans-base and trans-vault low-velocity penetrating brain injury: A retrospective comparative study of characteristics, treatment, and outcomes

Fistula carotídeo-cavernosa secundária a trauma cranioencefálico em criança: um relato de caso / Carotid-cavernous fistula secondary to head trauma in a child: a case report

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