Orbitofrontal Extradural Hematoma: Unusual Cause of Proptosis

2021 ◽  
Author(s):  
Satish Verma ◽  
Shweta Kumari
Keyword(s):  
Management Strategy ◽  
Venous Congestion ◽  
Extradural Hematoma ◽  
Carotid Cavernous Fistula ◽  
Distinct Entity ◽  
Cavernous Fistula

Traumatic orbital subperiosteal hematoma are a distinct entity and should not be confused with orbital extradural hematoma. Most of the orbital subperiosteal hematoma are small in volume and resolve spontaneously. Management should be based on the clinico-radiological condition. A delayed proptosis may be simply due to orbital venous congestion due to a substantial hematoma or due to a carotid-cavernous fistula. Differentiation between the two is paramount to decide management strategy.

Extensive basal ganglia edema caused by a traumatic carotid-cavernous fistula: a rare presentation related to a basal vein of Rosenthal anatomical variation

2014 ◽  
Vol 121 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Isabelle Ract ◽  
Aurélie Drier ◽  
Delphine Leclercq ◽  
Nader Sourour ◽  
Joseph Gabrieli ◽  
...  
Keyword(s):  
Basal Ganglia ◽  
Vasogenic Edema ◽  
Anatomical Variation ◽  
Brain Mri ◽  
Venous Congestion ◽  
Carotid Cavernous Fistula ◽  
Orbital Trauma ◽  
Rare Presentation ◽  
Cavernous Fistula ◽  
Basal Vein Of Rosenthal

The authors report a very rare presentation of traumatic carotid-cavernous fistula (CCF) with extensive edema of the basal ganglia and brainstem because of an anatomical variation of the basal vein of Rosenthal (BVR). A 45-year-old woman was admitted to the authors' institution for left hemiparesis, dysarthria, and a comatose state caused by right orbital trauma from a thin metal rod. Brain MRI showed a right CCF and vasogenic edema of the right side of the brainstem, right temporal lobe, and basal ganglia. Digital subtraction angiography confirmed a high-flow direct CCF and revealed a hypoplastic second segment of the BVR responsible for the hypertension in inferior striate veins and venous congestion. Endovascular treatment was performed on an emergency basis. One month after treatment, the patient's symptoms and MRI signal abnormalities almost totally disappeared. Basal ganglia and brainstem venous congestion may occur in traumatic CCF in cases of a hypoplastic or agenetic second segment of the BVR and may provoke emergency treatment.

Pontine venous congestion caused by dural carotid-cavernous fistula: report of two cases

1997 ◽  
Vol 7 (3) ◽  
pp. 405-408 ◽  
Author(s):  
A. Uchino ◽  
A. Kato ◽  
Y. Kuroda ◽  
S. Shimokawa ◽  
S. Kudo
Keyword(s):  
Venous Congestion ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Direct Carotid-Cavernous Fistula Causing Brainstem Venous Congestion

2009 ◽  
Vol 29 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Miguel Bussière ◽  
Stephen P Lownie ◽  
David M Pelz ◽  
David Nicolle
Keyword(s):  
Venous Congestion ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Direct Carotid Cavernous Fistula

Diagnosis of carotid-cavernous fistula in ophthalmic practice (clinical case)

2019 ◽  
pp. 116-118
Author(s):  
I.N. Pakhirko ◽  
◽  
M.N. Ponomareva ◽  
E.Y. Ponomareva ◽  
I.A. Aymurzina ◽  
...  
Keyword(s):  
Clinical Case ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Endoscopic Endonasal Orbital Apex Decompression for Carotid Cavernous Fistula

2021 ◽  
pp. 014556132110303
Author(s):  
Noah Shaikh ◽  
Anthony Leonard ◽  
Caitlyn Patton ◽  
SoHyun Boo ◽  
John Nguyen ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Standard Of Care ◽  
Endoscopic Endonasal Approach ◽  
Orbital Apex ◽  
Abducens Palsy ◽  
Carotid Cavernous Fistula ◽  
Endoscopic Endonasal ◽  
Cavernous Fistula ◽  
Novel Approach ◽  
Gaze Palsy

Significance Statement This case report demonstrates a novel approach to treating a rare indirect carotid cavernous fistula (CCF) and associated abducens palsy. Although endovascular treatment is the standard of care in the management of CCFs, it was contraindicated in this patient. Instead, she underwent an endoscopic endonasal approach (EEA) with decompression of the medial orbital apex, including the cavernous sinus and optic nerve, with complete resolution of headache, lateral gaze palsy, and diplopia within 2 months.

Electrothrombosis of carotid-cavernous fistula

1975 ◽  
Vol 42 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Yoshio Hosobuchi
Keyword(s):  
Posterior Segment ◽  
Cerebral Vein ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Arterial Circulation ◽  
Inferior Portion ◽  
Pterygoid Plexus ◽  
Fine Print

✓ The author describes a technique for directly closing a carotid cavernous fistula with electrothrombosis while preserving the intracranial arterial circulation. Copper wires are introduced through the superior ophthalmic vein or a frontotemporal craniotomy, and thus directly into the portion of the sinus into which the fistula drains; if posterior, into the posterior segment of Parkinson's triangle, if inferior, into the pterygoid plexus, and if anterior, through the sphenoparietal sinus and/or middle cerebral vein to the anterior-inferior portion of the sinus. A direct current is applied until a thrombus is confirmed angiographically and the wires are left in place. Four patients treated by this method are presented.

Primary treatment of an indirect carotid cavernous fistula by injection of N-butyl cyanoacrylate in the dural wall of the cavernous sinus

2007 ◽  
Vol 67 (4) ◽  
pp. 403-408 ◽  
Author(s):  
Ali Shaibani ◽  
Mehdi Rohany ◽  
Richard Parkinson ◽  
John K. Hopkins ◽  
H. Hunt Batjer ◽  
...  
Keyword(s):  
Cavernous Sinus ◽  
Primary Treatment ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Dural Wall
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