Cho Kwang-Chun, Seo Dae-Hee, Choe Il-Seung, Park Sung-Choon
Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
J Korean Neurosurg Soc. 2011 Aug;50(2):126-9. doi: 10.3340/jkns.2011.50.2.126. Epub 2011 Aug 31.
Bilateral traumatic carotid-cavernous fistulae (TCCFs) is rarely encountered neurovascular disease. For treatment of TCCF, detachable balloons have been widely used. Nowadays, transarterial and/or transvenous coil embolization with placement of covered stents is adopted as another treatment method. We experienced a patient with a bilateral TCCFs who was successfully treated with covered stents. However, cerebral hemorrhage occurred in the bed of previous infarction one day after treatment. Hyperperfusion syndrome was considered as a possible cause of the hemorrhage, so that barbiturate coma therapy was started and progression of hemorrhage was stopped. We emphasize that cerebral hyperperfusion hemorrhage can occur even after successful endovascular treatment of TCCF.
双侧创伤性颈内动脉海绵窦瘘（TCCF）是一种罕见的神经血管疾病。对于TCCF的治疗，可脱性球囊已被广泛应用。如今，经动脉和/或经静脉线圈栓塞并置入覆膜支架被用作另一种治疗方法。我们遇到了一位双侧TCCF患者，他通过覆膜支架成功治愈。然而，治疗后一天，在先前梗死灶部位发生了脑出血。高灌注综合征被认为是出血的可能原因，因此开始了巴比妥酸盐昏迷疗法，出血进展得以停止。我们强调，即使在TCCF血管内治疗成功后，也可能发生脑高灌注出血。
