Clinical and Radiological Analysis of Carotid Cavernous Fistula and Detachable Balloon Occlusion: Case Report

ABSTRACT

Carotid-cavernous fistula is a serious complication of head trauma. We have experienced 5 cases of carotid-cavernous fistula(four cases were traumatic and one was spontaneous) recently and have successfully managed them by detachable balloon occlusion. We have found that while some cases had typical manifestations, the others had atypical features. We therefore concluded that clinical suspicion and early imaging studies are essential steps in the management of carotid-cavernous fistula. Careful monitoring and prompt treatment are important because of its dismal progression and poor outcome. Detachable balloon occlusion is a method of choice in management of carotid-cavernous fistula, because it can be used under local anesthesia. It provides a chance of early detection of neurological deterioration during the procedure and it can be, if necessary performed during diagnostic procedures.