This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Clinical Course and Management

Robert A. Pedersen, MD, PhD; B. Todd Troost, MD; Victor L. Schramm, MD

Arch Otolaryngol. 1981;107(5):307-309.

Abstract
• The occurrence of a carotid-cavernous sinus fistula following transethmoidal-sphenoid sinus surgery is unusual. The etiology of this complication is related to the variations in anatomic position of the carotid artery and in the thickness of bone overlying the artery in the lateral sinus wall. In the case reported herein, the clinical course was complicated by the development of cranial nerve palsies and ocular ischemia. The patient's symptoms worsened following an attempt to close the fistula with a microcatheter balloon and isobutyl-cyanoacrylate embolization. Dramatic improvement in the patient's condition was obtained by subsequent occlusion of the carotid artery on the side of the fistula with a microcatheter balloon.

(Arch Otolaryngol 1981;107:307-309)

Author Affiliations
From the Neurology Service, Veterans Administration Medical Center, Cleveland (Dr Troost); and the Departments of Neurology (Drs Troost and Pedersen) and Otolaryngology (Dr Schramm), University of Pittsburgh School of Medicine.

Footnotes
Accepted for publication July 25, 1980.

Reprint requests to Neurology Service, Veterans Administration Medical Center (127), Wade Park Unit, 10701 East Blvd, Cleveland, OH 44106 (Dr Troost).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Carotid Artery--Cavernous Sinus Fistula
Harris and McMenamin
Arch Otolaryngol Head Neck Surg 1984;110:618-623.
ABSTRACT  

Carotid-Cavernous Fistula Following Nasopharyngeal Biopsy
Feuerman et al.
Arch Otolaryngol Head Neck Surg 1984;110:412-414.
ABSTRACT