Indirect cavernous carotid fistula in a 12-year-old girl
| Autor: | Francesca Livi, Darach Crimmins, S. Ndoro, John Caird |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Fistula media_common.quotation_subject Magnetic resonance imaging Case Report medicine.disease 030218 nuclear medicine & medical imaging Surgery Dysdiadochokinesia 03 medical and health sciences Scleral veins 0302 clinical medicine medicine Past pointing Radiology Girl Differential diagnosis medicine.symptom business 030217 neurology & neurosurgery Paediatric population media_common |
| Zdroj: | Journal of Surgical Case Reports |
| ISSN: | 2042-8812 |
| Popis: | We present a very rare case of indirect cavernous carotid fistula (CCF) in a 12-year-old girl. Indirect CCF is extremely rare in the paediatric population. A 12-year-old girl presented with a 7-month history of frontal headaches and intermittent left-sided proptosis. On examination, she had dilated and engorged scleral veins on the left eye, mild dysdiadochokinesia and past pointing on the left side. A brain computer tomography with contrast, brain magnetic resonance imaging (MRI) and interventional radiography (IR) cerebral angiogram confirmed the diagnosis of CCF. The CCF was embolized and a follow-up brain MRI and an IR cerebral angiogram were conducted over the course of 8 months that revealed no evidence of residual CCF. CCF, though rare in the paediatric population, should be highly considered in the differential diagnosis when dilated scleral veins, proptosis and dysdiadokinesis are present in the clinical setting. Prompt treatment has good prognostic results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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