Issue N# 3 - 2010
OTONEUROLOGY
Post-traumatic carotid carvernous fistula: report of two cases
Authors : Pons Y, Ukkola-Pons E, Hunkemöller I, Raynal M, Lepage P, Blondet E, Rigal-Sastourne JC, Héran F, Kossowski M. (Clamart)
Ref. : Rev Laryngol Otol Rhinol. 2010;131,3:225-228.
Article published in french 
Downloadable PDF document french
Summary :
Carotid cavernous fistula (CCF) is an abnormal communication between the cavernous sinus and the carotid arterial system. The authors reported the clinical presentation and therapeutic procedure of two cases. The physician has to be aware of this diagnosis when a patient is referred for a posttraumatic exophthalmia. The medical behaviour is multidisciplinary (ENT, ophthalmologist, radiologist and neurosurgeon). The imaging of choice is the angiography but angio-MRI and angio-CT can help to confirm the diagnosis. The endovascular embolization is the treatment of choice. It presents an acceptable risk of complication and a low risk of failure. In this paper, the authors report 2 posttraumatic CCF cases treated with success by endovascular embolization.
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