Delayed intracerebral hemorrhage from a traumatic carotid-cavernous fistula associated with an enucleated orbit.
| Autor: | Bram R; Department of Neurosurgery, Neuropsychiatric Institute, University of Illinois at Chicago, Chicago, IL, USA., Chaudhry N; Department of Neurosurgery, Neuropsychiatric Institute, University of Illinois at Chicago, Chicago, IL, USA., Choi JL; Department of Neurosurgery, Neuropsychiatric Institute, University of Illinois at Chicago, Chicago, IL, USA., Atwal G; Department of Neurosurgery, Neuropsychiatric Institute, University of Illinois at Chicago, Chicago, IL, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of cerebrovascular and endovascular neurosurgery [J Cerebrovasc Endovasc Neurosurg] 2021 Sep; Vol. 23 (3), pp. 251-259. Date of Electronic Publication: 2021 Sep 08. |
| DOI: | 10.7461/jcen.2021.E2020.10.006 |
| Abstrakt: | Spontaneous intracerebral hemorrhage (ICH) from a traumatic carotid-cavernous fistula (CCF) is a rare occurrence with few cases reported in the literature. Patients classically present shortly after the inciting trauma with symptoms of ocular venous hypertension. We report a case of an ICH due to delayed rupture of a venous aneurysm from a CCF in a patient with decades-old history of enucleation of the left globe secondary to trauma with no sentinel symptoms. Our patient represents a unique presentation of a rare pathology. This case highlights the need for ongoing surveillance in patients with a history of severe craniofacial trauma, as ICH from ruptured CCF(s) demands emergent treatment due to the potential for rapid neurological deterioration. |
| Databáze: | MEDLINE |
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