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- Title
Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient.
- Authors
Paiva, Wellingson Silva; de Andrade, Almir Ferreira; Beer-Furlan, André; Neville, Iuri Santana; Noleto, Gustavo S.; Bernardo, Luca Silveira; Caldas, Jose Guilherme; Teixeira, Manoel Jacobsen
- Abstract
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.
- Subjects
BLOOD vessels; JUVENILE diseases; SKULL; CLINICAL medicine; CAVERNOUS sinus
- Publication
Child's Nervous System, 2013, Vol 29, Issue 12, p2287
- ISSN
0256-7040
- Publication type
Article
- DOI
10.1007/s00381-013-2303-5