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Karotikokavernöz fistüllü bir olgunun ayrılabilir balon embolizasyon ile tedavisi

Detachable balloon embolization in a patient with caroticocavernous fistula

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Abstract (2. Language): 
The patient was admitted to our service with the complaints of headache, bruit on his head and decreased vision in his left eye. All symptoms had appeared after having a motor vehicle accident. Congestion and tortuosity of episcleral and conjunctival vessels, and proptosis were evident. Fundus examination was normal except for mild disc pallor. Left superior ophthalmic vein was dilated and tortuos at the computed tomography scan of orbit. Arterialized blood flow and dilatation of superior ophthalmic vein were observed in color Doppler ultrasonographic examination. Left caroticocavernous fistula was confirmed with cerebral angiography. The fistula was occluded with detachable balloon embolization.
Abstract (Original Language): 
İki yıl önce geçirdiği trafik kazası sonrası başlayan baş ağrısı, başında uğultu ve sol gözünde görme azlığından yakınan hastanın sol gözünde konjonktival ve episkleral damarlarda dolgunluk, kıvrım artışı ve proptozis saptandı. Orbital oskültasyonda üfürüm alındı. Fundus görünümü, papilladaki minimal solukluk dışında normaldi. Orbital tomografide süperiyor oftalmik venin, solda belirgin olarak kıvrımlı ve dilate olduğu görüldü. Renkli Doppler ultrasonografide, süperiyor oftalmik vende belirgin dilatasyon ve arteriyelize akım izlendi. Serebral anjiyografide, solda karotikokavernöz fistül saptandı. Fistül, ayrılabilir balon ile kapatıldı.
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REFERENCES

References: 

1. Serbinenko FA. Balloon catheterization and
occlusion of major cerebral vessels. J
Neurosurg 1974; 41: 125-145.
2. Debrun GM, Vinuela F, Fox AJ, Davis KR,
Ahn HS. Indications for treatment and classification of 132 carotid-cavernous fistulas.
Neurosurgery 1988; 22: 285-289.
3. Halbach VV, Higashida RT, Hieshima GB,
Hardin CW, Yang PJ. Transvenous
embolization of direct carotid cavernous
fistulas. Am J Neuroradiol 1988; 9: 741-
747.
4. Guglielmi G, Vinulea F, Dion J,
Duckwiller G. Electrothrombosis of saccular aneurysms via endovascular approach.
Part 2: Preliminary clinical experience. J
Neurosurg 1991; 75: 8-14.
5. Halbach VV, Higashida RT, Barnwell SL,
Dowd CF, Hieshima GB. Transarterial
platinum coil embolization of carotid-cavernous fistulas. Am J Neuroradiol 1991; 12:
429-433.
6. Komiyama M, Yasui T, Yagura H, Fu Y,
Nagata Y. Traumatic carotid-cavernous
sinus fistula associated with an intradural
pseudoaneurysm: a case report. Surg
Neurol 1991; 36: 126-132.
7. Voigt K, Sauer M, Dichgans J. Spontaneous
occlusion of a bilateral caroticocavernous
fistula studied by serial angiography.
Neuroradiology 1971; 2: 207-211.
8. Kim JK, Seo JJ, Kang HK, Lee JH.
Traumatic bilateral carotid-cavernous fistulas treated with detachable balloon. A case
report. Acta Radiol 1996; 37: 46-48.
9. Reddy SV, Sundt TM Jr. Giant traumatic
false aneurysm of the internal carotid artery
associated with a carotid-cavernous fistula.
Case report. J Neurosurg 1981; 55: 813-
818.
10. Sbeih IA, O'Laoire SA. Traumatic carotidcavernous fistula due to transection of the
intracavernous carotid artery. Case report. J
Neurosurg 1984; 60: 1080-1084.
11. West CG. Bilateral carotid-cavernous fistulae: a review. Surg Neurol 1980; 13: 85-90.
12. Fattahi TT, Brandt MT, Steinberg B.
Traumatic carotid-cavernous fistula: pathophysiology and treatment. J Craniofac Surg
2003; 14: 240-246.
13. Koebbe CJ, Horowitz M, Jungreis C, Levy
E, Pless M. Alcohol embolization of
carotid-cavernous indirect fistulae.
Neurosurgery 2003; 52: 1111-1115.
14. Barcia-Salorio JL, Soler F, Barcia JA,
Hernandez G. Radiosurgery of carotid-cavernous fistulae. Acta Neurochir Suppl
1994; 62: 10-12.
15. Luo CB, Teng MM, Yen DH, Chang FC,
Lirng JF, Chang CY. Endovascular
embolization of recurrent traumatic
carotid-cavernous fistulas managed previously with detachable balloons. J Trauma
2004; 56: 1214-1220.
16. Toygar O, Pelit A, Kýzýlkýlýç O, Akova YA.
Ýndirekt karotikokavernöz fistül: olgu
sunumu. Türk Oftalmoloji Gazetesi 2005;
35: 437-442.

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