Dural Carotid-Cavernous Fistulas: Epidemiology, Clinical Presentation, and Management

Research output: Contribution to journalReview article

Abstract

Dural arteriovenous fistulas of the cavernous sinus are no longer difficult to diagnose or treat. Specific ocular manifestations allow these fistulas to be diagnosed clinically. Noninvasive imaging techniques can be used to confirm the diagnosis. The most common treatment is endovascular occlusion of the lesion via a transarterial or transvenous route. Manual compression of the ipsilateral internal carotid artery in the neck or radiation therapy is appropriate in selected cases. Regardless of the treatment used, the fistula can be closed completely in most cases, resulting in restoration of normal orbital and intracranial blood flow and resolution of visual deficits.

Original languageEnglish (US)
Pages (from-to)179-192
Number of pages14
JournalNeurosurgery clinics of North America
Volume23
Issue number1
DOIs
StatePublished - Jan 1 2012

Keywords

  • Arterialization
  • Dural carotid-cavernous sinus fistula
  • Endovascular
  • Superior ophthalmic vein

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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