Increasing exophthalmia after carotid-cavernous fistula closure with a detachable balloon: problems of incomplete treatment. A case report.

作者: H. Ghanaati , M. Motevalli , A.H. Jalali , K. Firouznia

DOI: 10.1177/197140091002300112

关键词: EmbolizationBalloonFistulaChemosisSurgeryInternal carotid arteryMedicineSuperior ophthalmic veinNerve ParalysisCarotid-cavernous fistula

摘要: A 30-year-old woman with pulsating exophthalmia due to posttraumatic carotid-cavernous fistula underwent embolization a detachable balloon. Because of balloon dislodgement, the drainage was derived superior ophthalmic vein and clinical worsening occurred. Complete ophthalmoplegia developed visual acuity decreased. After second we inserted two balloons but same findings were exaggerated. Finally coiling internal carotid artery done orbital decompression achieved. Ophthalmoplegia, proptosis, chemosis nerve paralysis intraocular pressure improved.

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