Cavernous sinus fistulas: Carotid cavernous fistulas and dural arteriovenous malformations

Feiner, Leonard; Bennett, Jeffrey L.; Volpe, Nicholas J.

doi:10.1007/s11910-003-0025-x

Cited by 43 publications

(25 citation statements)

References 40 publications

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“…In the present study, as was expected [15], a history of encephalic trauma was significantly more frequently reported among patients suffering from a direct CCF than an indirect CCF.…”

Section: Discussionsupporting

confidence: 88%

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

et al. 2012

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Carotid cavernous fistulas (CCFs) can be classified as direct and indirect, depending on their flow rates and their etiology. Both forms can cause the same characteristic ophthalmological symptoms and signs. We analyzed these ocular characteristics and determined the prognostics factors associated with treatment outcome. Forty-seven patients with an angiographically confirmed diagnosis of CCF, a preoperative ophthalmic evaluation and at least one ophthalmic sign or symptom at the initial presentation were retrospectively evaluated. The patients were followed-up ophthalmically until the end of treatment, and the complications and the remaining ophthalmological signs and symptoms were then recorded. The patients' ages ranged from 13 to 89 years, with an average of 55.78 (±20.73) years, and a predominance of 28 female (57.8 %) patients. The patients with a direct CCF had a lower average age (p = 0.02). The most common symptoms were blurred vision in 17 (36.2 %) and proptosis in 37 (78.7 %) patients. Elevated intraocular pressure (IOP) was more prevalent in patients with an indirect CCF (p = 0.02). Thrill was more prevalent in patients with direct CCF (p = 0.01). The presence of an initial decrease of visual acuity at the first ophthalmic evaluation was significantly associated with the persistence of ocular symptoms after fistula treatment (odds ratio 3.33). In conclusion our study shows a slight difference in ophthalmic symptoms among patients with different types of fistula. Elevated IOP was significantly associated with indirect fistulas, whereas thrill was significantly associated with direct fistulas. The presence of an initial decrease of visual acuity was significantly associated with a worse ophthalmic prognosis.

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“…In the present study, as was expected [15], a history of encephalic trauma was significantly more frequently reported among patients suffering from a direct CCF than an indirect CCF.…”

Section: Discussionsupporting

confidence: 88%

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

et al. 2012

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“…All cases received endovascular treatment with a transarterial or transvenous approach. Before intervention, the Borden classification 13 was used to classify fistulas based on their venous drainage: Type I, the dural arterial supply drains anterograde into the venous Cavernous sinus DAVFs (cDAVFs) form through an abnormal arteriovenous communication between the dural branches of the internal and external carotid arteries (ICA and ECA, respectively) and the cavernous sinus 4 . They occur less frequently than transverse/ sigmoid sinus DAVFs and have a low risk of hemorrhage 5 .…”

Section: Procedures and Approachesmentioning

confidence: 99%

Long-Term Endovascular Treatment Outcome of 46 Patients with Cavernous Sinus Dural Arteriovenous Fistulas Presenting with Ophthalmic Symptoms

et al. 2014

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“…There may be a subjective bruit associated with conjunctival injection (Fig. 3) and modest elevations in intraocular pressure, edema, and proptosis [20]. This entity is frequently misdiagnosed as chronic conjunctivitis.…”

Section: Orbital Masses and Vascular Malformationsmentioning

confidence: 99%

Headache Attributable to Disorders of the Eye

Friedman

Gordon

Quirós

2010

Curr Pain Headache Rep

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Sensory innervation to the eye and periocular area arises from the ophthalmic branch of the trigeminal nerve. Thus, ocular, orbital, and systemic disorders may produce head pain with ocular signs and symptoms. Whereas some of these entities have characteristic diagnostic features, others mimic primary headache disorders such as migraine and cluster headache. This article reviews common ocular and neuro-ophthalmic conditions that are accompanied by pain in or near the eye.

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Cavernous sinus fistulas: Carotid cavernous fistulas and dural arteriovenous malformations

Cited by 43 publications

References 40 publications

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

Ophthalmologic outcome of direct and indirect carotid cavernous fistulas

Long-Term Endovascular Treatment Outcome of 46 Patients with Cavernous Sinus Dural Arteriovenous Fistulas Presenting with Ophthalmic Symptoms

Headache Attributable to Disorders of the Eye

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