11/271. Spontaneous carotico-cavernous fistula presenting as pulsatile tinnitus.A patient with sudden onset pulsatile tinnitus resulting from a spontaneous carotico-cavernous fistula is presented. The case is discussed and illustrated to highlight the clinical features and natural history of a condition rarely seen by ENT surgeons.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
12/271. Arteriovenous communication in the orbit.arteriovenous malformations (AVMs) are anomalous communications between arterial and venous systems without interposed capillaries. These lesions are rarely entirely intraorbital. A case of an arteriovenous communication between branches of the internal and external carotid arterial circulations and the ophthalmic veins located within the orbit is reported. Treatment with embolization resulted in a branch retinal artery occlusion. Attempted direct arterial occlusion of a dural-based fistula of the eye is a risky procedure. If embolized, AVMs should probably be approached from the venous side, if at all.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
13/271. Endovascular treatment of a ruptured dual aperture cavernous aneurysm.The authors describe the diagnosis and endovascular management of a multiaperture, ruptured cavernous internal carotid artery aneurysm causing a carotid cavernous fistula (CCF) using both transarterial and transvenous techniques. Although uncommon, recognition of the imaging characteristics of such a lesion will aide in successful management and improve treatment outcome. To the authors' knowledge, CCF due to a ruptured cavernous aneurysm with multiple shunts has not been previously reported.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
14/271. Nearly fatal complications of cervical lymphadenitis following BCG immunotherapy for superficial bladder cancer.This report describes the case of a 68-year-old man with bilateral cervical lymphadenitis and chorioretinitis due to bacille Calmette-Guerin (BCG), originating from BCG immunotherapy for treatment of superficial bladder cancer 2 years ago. During antimycobacterial therapy a fistula between the right-sided lymph node and an aneurysm of the carotid artery developed. This led to life-threatening spontaneous bleeding which required vascular graft surgery. Like other known systemic side effects, cervical lymphadenitis may also occur following intravesical BCG immunotherapy, and life-threatening complications cannot be excluded despite adequate medical treatment.- - - - - - - - - - ranking = 0.2keywords = fistula (Clic here for more details about this article) |
15/271. The benign course of carotid-cavernous fistula in a child.Carotid-cavernous fistulas (CCF) are reported very rarely in childhood and their clinical course and prognosis are uncertain. We report a 9-year-old boy presented with left eye swelling, neck pain and headache. The MRI findings suggested a CCF with enlarged left superior ophthalmic vein. Ocular Doppler ultrasonography revealed enlarged left superior ophthalmic vein, and arterialization of Doppler wave form. The cerebral angiogram showed normal anatomy. Control Doppler examination findings supported the diagnosis of closure of fistula. The clinical and radiological findings of this unusual presentation are discussed.- - - - - - - - - - ranking = 1.2keywords = fistula (Clic here for more details about this article) |
16/271. Spontaneous late carotid-cutaneous fistula following radical neck dissection: a case report.The authors present an unusual case of a spontaneous carotid-cutaneous fistula occurring as a late complication 4 years after radical neck dissection and postoperative radiation therapy for tonsillar squamous cell carcinoma in a 50-year-old patient. The etiologic factors predisposing patients to carotid artery rupture following radical neck dissection and a surgical option for carotid artery reconstruction instead of ligation are discussed.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
17/271. Occlusion of carotid-cavernous fistula with a balloon catheter.Occlusion of a carotid-cavernous fistula with a balloon catheter appears to be easier and perhaps safer than the widely used trapping procedure. Two cases successfully treated using this technique are reported along with a discussion of the advantages, disadvantages, and possible future improvements in technique.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
18/271. Experiences with intraluminal occlusion with the Fogarty catheter in the treatment of carotid-cavernous sinus fistulas and other lesions at the base of the skull.Indications for the occlusion of the extradural portions of the carotid and vertebral arteries with the Fogarty catheter are demonstrated in 5 cases of traumatic carotid-cavernous sinus fistulas, in 1 case of an extradural carotid aneurysm originating from the anterior portion of the carotid siphon, in 1 case of traumatic carotid-jugular vein fistula and vertebral artery aneurysm with a-v shunt at the level of the atlas, and in 2 cases of large tumours of the base of the skull extending into the cavernous sinus. The limitation of the method is shown in one case where the catheter could not be passed through a "high" kink of the carotid artery. "Low" kinking, at the typical site above the bifurcation, can be overcome by mobilization and stretching of the vessel while introducing the catheter.- - - - - - - - - - ranking = 1.2keywords = fistula (Clic here for more details about this article) |
19/271. Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm.Intracavernous carotid artery aneurysms causing a carotid-cavernous fistula (CCF) are rare. These aneurysms usually cause neurological symptoms due to gradual expansion without rupture. If they do rupture they most often lead to a CCF instead of bleeding into the subarachnoid space. A patient is described with a ruptured intracavernous aneurysm causing a CCF resulting in acute onset of unilateral ophthalmoplegia. Selective coil embolisation of the aneurysm led to complete occlusion of the CCF with preservation of the internal carotid artery; symptoms resolved completely.- - - - - - - - - - ranking = 1keywords = fistula (Clic here for more details about this article) |
20/271. Enigmatic pain referred to the teeth and jaws.A number of obscure syndromes can mimic dental or jaw pain in the absence of pathosis within these structures. This enigmatic dental pain includes conditions such as pretrigeminal neuralgia, complex regional pain syndrome, temporal tendinitis, and carotodynia. Each of these syndromes is described through a pertinent case report to illustrate appropriate diagnosis and treatment.- - - - - - - - - - ranking = 7.3651563948379E-5keywords = dental (Clic here for more details about this article) |
| <- Previous || Next -> |