{"title":"Giant carotid-cavernous fistula with complete shunt.","authors":"Jincai Fang, Genghuan Wang, Yunnong Song","doi":"10.1016/j.wneu.2024.10.085","DOIUrl":null,"url":null,"abstract":"<p><p>Patient is a 37-year-old male with a history of head trauma surgery 8 years ago, admitted for persistent pulsatile exophthalmos and intracranial murmur. Angiography results showed: blood from the right internal carotid artery(RICA) flowed directly into the cavernous sinus(CS), with the arterial system above the CS not visualized; early visualization of the right venous sinus system; dilation of the right superior ophthalmic vein(SOV) and the medial canthal vein. Bilateral anterior and middle cerebral arteries were perfused through the left internal carotid artery(LICA). We diagnosed a right-sided carotid cavernous fistula(CCF). After a comprehensive preoperative assessment, we chose spring coil embolization treatment, which resulted in the disappearance of symptoms post-treatment. Three month later, upon follow-up, the patient reported no longer hearing intracranial murmur, and auscultation of the right temporal region revealed no abnormal sounds.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.wneu.2024.10.085","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
引用次数: 0
Abstract
Patient is a 37-year-old male with a history of head trauma surgery 8 years ago, admitted for persistent pulsatile exophthalmos and intracranial murmur. Angiography results showed: blood from the right internal carotid artery(RICA) flowed directly into the cavernous sinus(CS), with the arterial system above the CS not visualized; early visualization of the right venous sinus system; dilation of the right superior ophthalmic vein(SOV) and the medial canthal vein. Bilateral anterior and middle cerebral arteries were perfused through the left internal carotid artery(LICA). We diagnosed a right-sided carotid cavernous fistula(CCF). After a comprehensive preoperative assessment, we chose spring coil embolization treatment, which resulted in the disappearance of symptoms post-treatment. Three month later, upon follow-up, the patient reported no longer hearing intracranial murmur, and auscultation of the right temporal region revealed no abnormal sounds.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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