Nous vous racontons ses causes, son diagnostic et son traitement. Intracavernous carotid artery aneurysms causing a carotidcavernous fistula ccf are rare. Successful treatment by detachable balloon with occlusion of the carotid siphon. It is the thirteenth reported case in the literature since 1907. Fistule carotidocaverneuse avec symptomatologie contralaterale. In the 1960s, the vascular component of eds was recognized, and eds 4, the vascular type, was identified by andras barbaras.
They can be classified as direct or indirect which are separate conditions with different etiologies. Carotid cavernous fistula with central retinal artery. Pathophysiology of carotidcavernous fistulas in vascular. Endovascular management of carotidcavernous fistula in ehlersdanlos syndrome type iv suraj mammen 1, shyamkumar n keshava 1, sumita danda 2, renu raju 3, ari g chacko 4 1 department of radiology, christian medical college, vellore, tamil nadu, india 2 department of medical genetics, christian medical college, vellore, tamil nadu, india 3 department of ophthalmology, christian medical college. Fistule carotido caverneuse, exophtalmie, hypertonie oculaire, embolisation. We conducted a retrospective analysis of a monocentric veds cohort along with a. A 43yearold woman without phenotypic expression of ehlersdanlos syndrome developed a spontaneous unilateral carotidcavernous fistula ccf. Le signe pathognomonique est lexophtalmie pulsative. To report a rare occurrence combination of central retinal artery occlusion crao and terson syndrome in a barrows type a carotid cavernous fistula ccf patient. Il peut y avoir fistule carotidocaverneuse dans le sinus caverneux. If they do rupture they most often lead to a ccf instead of bleeding into the subarachnoid space.
Com is registrered at the cnil, declaration n 1286925. A case of left carotidocavernous fistula with right exophthalmos is reported. Posttraumatic carotidcavernous sinus fistula by jeanpierre lemaitre, sophie jamart, florence lefranc, valerie julien, thierry roger and jean louis vincent. A carotidcavernous sinus fistula is an abnormal connection that forms between a carotid artery in your neck and the network of veins at the back of your eye. A mass of the eyelid revealing a carotidcavernous fistula. A patient is described with ehlers danlos syndrome presenting with spontaneous carotid cavernous fistula, in whom there was biochemical evidence for defective type iii collagen synthesis. Spontaneous carotidcavernous fistulae in ehlersdanlos. Lapparition dune fistule carotidocaverneuse entraine des symptomes pathognomoniques, dont les principaux sont. Fistules carotidocaverneuses bilaterales spontanees. Fistule carotidocaverneuse, exophtalmie, hypertonie oculaire, embolisation. Pdf fistules carotidocaverneuses bilaterales spontanees. Abstract we report the case of a patient diagnosed, treated and followed for direct. Caroticocavernous fistula radiology reference article. The full text of this article is available in pdf format.
The potentially sightrobbing vascular abnormality known as the carotidcavernous sinus fistula ccf can masquerade as conjunctivitis or other common ocular conditions, which diminishes the chance for a speedy diagnosis. Translate caverneuse from french to italian mymemory. This article is from march 2008 and may contain outdated material. Carotid cavernous fistula due to a ruptured intracavernous. Mechanism of the exclusively contralateral exophthalmos is discussed. Spontaneous carotidcavernous fistula and multiple arterial. Author links open overlay panel boutahar imane benabdellah fatima zahra oulad amar asmae nasri siham kamaoui imane skiker imane. Les fistules sont generalement le resultat dun etat. Le diagnostic clinique est evoque sur des signes ophtalmiques et orbitaires. Post traumatic, indirect carotid cavernous fistula.
Efsing a fistula between the internal carotid artery and the cavernous sinus is usually caused by trauma but may result from spontaneous rupture of an aneurysm, as a rule a n arteriosclerotic one. Fait clinique case report embolisation transveineuse d. Une masse palpebrale revelant une fistule carotidocaverneuse. A twentyyearold male patient with a history of road traffic accident presented with periorbital swelling and redness in the left eye. Fistules carotidocaverneuses posttraumatiques a propos dun. Caroticocavernous fistulas ccf represent abnormal communication between the carotid circulation and the cavernous sinus.
Vascular ehlersdanlos syndrome veds is a rare condition characterized by connective tissue fragility. Une angioirm photo n 2 a ete realisee et sest revelee normale infirmant alors ce diagnostic. Fistule carotidocaverneuse indirecte post traumatique. Spontaneous carotid cavernous fistula in ehlers danlos.
Left carotidocavernous fistula with right exophthalmos. Traitement endovasculaire des fistules carotidocaverneuses. Successful treatment by detachable balloon with occlusion of the carotid. Fistules carotidocaverneuses posttraumatiques association. Endovascular management of carotidcavernous fistula in.
Echodoppler orbitaire flux inverse dirige vers lavant regression spontanee possible penser a lexophtalmie. Journal francais dophtalmologie presentation em consulte. Temporary venous thrombosis of the ipsilateral ophthalmic vein and inferior petrosal sinus is likely. As per the law relating to information storage and personal integrity, you have the right to oppose art 26 of that law, access art 34 of that law and rectify art 36 of that law your personal data. Spontaneous bilateral carotidcavernous fistulae and cervical artery dissection is reported in a 20yearold woman with ehlersdanlos syndrome type iv. We conducted this study to understand the possible mechanisms of occurrence of sccf in this subset of patients. Fistule carotidocaverneuse indirecte post traumatique ncbi. Fistule carotidocaverneuse posttraumatique journal. Direct spontaneous carotidcavernous fistula sccf is reportedly pathognomonic of veds. Efsing a fistula between the internal carotid artery and the cavernous sinus is usually caused by trauma but may result from spontaneous rupture of an aneurysm, as a rule a n. Irrespective of the pathogenesis, arterial blood will be shunted in retrograde direction from the cavernous sinus into the superior ophthalmic vein. Pats service danesthesiereanimation, hopital dinstruction des armees percy, 101, avenue henri.
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