Transvenous coil embolization of an indirect, Barrow type D carotid-cavernous fistula in a 3-year-old with Down syndrome

Collin M. Torok, Monica Pearl

Research output: Contribution to journalArticle

Abstract

A 3-year-old girl with trisomy 21 presented with progressive proptosis, scleral injection, and pulsatility of her right eye 1 month following minimal blunt head trauma. Computed tomography suggested a carotid cavernous fistula (CCF), which was confirmed by digital subtraction angiography and further classified as an indirect, Barrow type D CCF. Treatment was proposed because of vision-threatening elevated intraocular pressures. Transvenous coil embolization of the CCF was successfully performed. The patient was discharged to home 2 days after the procedure with immediate clinical improvement of her proptosis and normalization of her intraocular pressures on follow-up ophthalmologic visit 2 wk later.

Original languageEnglish (US)
Pages (from-to)175-180
Number of pages6
JournalJournal of Pediatric Neuroradiology
Volume2
Issue number2
DOIs
StatePublished - 2013

Keywords

  • Carotid cavernous fistula
  • Down syndrome
  • Indirect carotid cavernous fistula
  • Pediatric
  • Transvenous embolization
  • Trisomy 21

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Radiology Nuclear Medicine and imaging

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