Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient.

Autor: Paiva WS; Division of Neurosurgery, Hospital das Clinicas, University of São Paulo Medical School, Eneas Aguiar Street, 255 Office 4080, 05403010, Sao Paulo, Brazil, wellingsonpaiva@yahoo.com.br., de Andrade AF, Beer-Furlan A, Neville IS, Noleto GS, Bernardo LS, Caldas JG, Teixeira MJ
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2013 Dec; Vol. 29 (12), pp. 2287-90. Date of Electronic Publication: 2013 Oct 30.
DOI: 10.1007/s00381-013-2303-5
Abstrakt: Introduction: Traumatic carotid-cavernous fistula (CCF) in children is a rare condition. Early diagnosis and treatment is still a challenge, and it is associated with good neurological recovery.
Case Summary: We present a rare case of a 10-year-old boy with mild head trauma, who developed a CCF at the anterior segment of the ascending internal carotid artery. The patient was treated with endovascular coil embolization and evolved with a favorable outcome.
Discussion: Most of reports in the literature address the traumatic CCF in adult patients, in which early treatment may prevent poor recovery or fatal outcomes. The diagnosis and management of this condition are discussed based on a literature review.
Conclusion: It is important to keep a high degree of suspicion for CCF, especially in traumatic head injury associated with skull base fracture, since the early diagnosis and treatment may prevent potentially permanent neurological deficits.
Databáze: MEDLINE
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