Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/552
Título: Fístulas Carótido-Cavernosas. Perspectivas de Diagnóstico e Terapêutica
Outros títulos: Carotid-Cavernous Fistulae. The Diagnostic and Therapeutic Prospects
Autor: Gonçalves, M
Reis, J
Almeida, R
Palavras-chave: Fístula Arteriovenosa
Doenças das Artérias Carótidas
Lesões das Artérias Carótidas
Artéria Carótida Interna
Seio Cavernoso
Tomografia Computorizada
Data: 1994
Editora: Centro Editor e Livreiro da Ordem dos Médicos
Citação: Acta Med Port. 1994 Jul-Aug;7(7-8):427-32
Resumo: Even though in clinical practice carotid cavernous fistulas (CCF) are not a frequent pathology, it should be a diagnostic hypothesis in face of a suggestive clinical presentation. We intended to review the diagnosis and the therapeutics, comparing them with the actual perspectives. Files of 25 patients with the diagnostic hypothesis of CCF, confirmed by conventional angiography in the HSAC Neuroradiology Department, were reviewed. In this group of patients, (5 males and 20 females), the fistulous aetiology was spontaneous in 10 and traumatic in 15. Clinically the symptom most often presented was diplopia (23 cases) and the most frequent encountered sign was ophthalmoplegia (20 cases). Of the Neuroradiologic investigation, CT scan (done to all patients) have shown an prominent superior ophthalmic vein as the most frequent abnormality. Angiographic study was based on Lasjaunias et al protocol (Surgical Neuroangiography, Vol. 2, Springer-Verlag). Surgery was the therapeutic approach for the traumatic fistulas; only 2 of the spontaneous were treated by endovascular route. Three patients are still under observation. In all the others cases there was a fistula exclusion.
Peer review: yes
URI: http://hdl.handle.net/10400.17/552
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