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KMID : 1005420210230030251
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Journal of Cerebrovascular and Endovascular Neurosurgery
2021 Volume.23 No. 3 p.251 ~ p.259
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Delayed intracerebral hemorrhage from a traumatic carotid-cavernous fistula associated with an enucleated orbit
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Bram Richard
Chaudhry Nauman
Choi Jason Lee
Atwal Gursant
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Abstract
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Spontaneous intracerebral hemorrhage (ICH) from a traumatic carotid-cavernous fistula (CCF) is a rare occurrence with few cases reported in the literature. Patients classically present shortly after the inciting trauma with symptoms of ocular venous hypertension. We report a case of an ICH due to delayed rupture of a venous aneurysm from a CCF in a patient with decades-old history of enucleation of the left globe secondary to trauma with no sentinel symptoms. Our patient represents a unique presentation of a rare pathology. This case highlights the need for ongoing surveillance in patients with a history of severe craniofacial trauma, as ICH from ruptured CCF(s) demands emergent treatment due to the potential for rapid neurological deterioration.
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KEYWORD
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Carotid-cavernous fistula, Intracerebral hemorrhage, Traumatic fistula, Venous hypertension, Orbital trauma
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