Pülhorn Heinke, Chandran Arun, Nahser Hans, McMahon Catherine
Department of Neurosurgery, (Drs Pülhorn and McMahon); and Department of Neuroradiology (Drs Chandran and Nahser), The Walton Centre, Liverpool, United Kingdom.
J Trauma Nurs. 2016 Jan-Feb;23(1):42-4. doi: 10.1097/JTN.0000000000000174.
Carotid-cavernous fistulae (CCFs) are a rare complication of head trauma, with potentially serious consequences. We report the case of a 45-year-old male patient who presented with posttraumatic CCF 2 months after sustaining a head injury. Appropriate imaging in the form of computed tomography of the head, magnetic resonance imaging of the head, and digital subtraction angiography of the intracranial vessels was performed, and the CCF was successfully coil embolized. This resulted in good resolution of the patient's symptoms. We discuss the cause, presentation, diagnosis, and treatment of CCFs. Carotid-cavernous fistulae are a rare sequela of craniofacial trauma; therefore, a high index of suspicion must be maintained to establish a diagnosis and prevent serious consequences.
颈内动脉海绵窦瘘(CCF)是头部外伤的一种罕见并发症,可能会产生严重后果。我们报告一例45岁男性患者,在头部受伤2个月后出现创伤后CCF。进行了头部计算机断层扫描、头部磁共振成像以及颅内血管数字减影血管造影等适当的影像学检查,并成功地对CCF进行了弹簧圈栓塞。这使患者的症状得到了很好的缓解。我们讨论了CCF的病因、表现、诊断和治疗。颈内动脉海绵窦瘘是颅面外伤的罕见后遗症;因此,必须保持高度的怀疑指数以确立诊断并防止严重后果。