Direct spontaneous high-flow carotid-cavernous fistula in a 9-month-old child after nasolacrimal duct repair

Nikolaev A.S.

Federal Center for Neurosurgery, Novosibirsk, Russia

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Istomina T.K.

Federal Center of Neurosurgery, Novosibirsk, Russia

Direct spontaneous high-flow carotid-cavernous fistula in a 9-month-old child after nasolacrimal duct repair

Authors:

Nikolaev A.S., Dubovoy A.V., Istomina T.K.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2020;84(3): 97‑101

DOI: 10.17116/neiro20208403197

Downloaded: 110

To cite this article:

Nikolaev AS, Dubovoy AV, Istomina TK. Direct spontaneous high-flow carotid-cavernous fistula in a 9-month-old child after nasolacrimal duct repair. Burdenko's Journal of Neurosurgery. 2020;84(3):97‑101. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20208403197

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Successful treatment of direct spontaneous carotid-cavernous fistula in a 9-month-old child and review of the literature devoted to this issue are reported in the manuscript. Spontaneous high-flow carotid-cavernous fistula is extremely rare in children. Detailed diagnosis of the fistulae includes CT-angiography and cerebral subtraction angiography. Previous surgeries (nasolacrimal canal repair in this case) may be considered as an etiological factor of carotid-cavernous fistula. Transarterial transfemoral endovascular embolization of the fistula with microcoils ensured closure of abnormal communication and complete regression of clinical manifestations in our case.

Keywords:

carotid-cavernous fistula

spontaneous fistula

lacrimal canal repair

endovascular embolization

childhood

Authors:

Nikolaev A.S.

Federal Center for Neurosurgery, Novosibirsk, Russia

Dubovoy A.V.

Federal Center of Neurosurgery, Novosibirsk, Russia

Istomina T.K.

Federal Center of Neurosurgery, Novosibirsk, Russia

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