Open AccessEvaluation and Follow-Up of Carotid-Cavernous Fistulas by Transcranial Doppler Sonography: Illustrative Case
Author(s) -
Camilo R. Gomez,
Sergio L. Gómez,
Kong-Woo P. Yoon,
Gary E. Kraus
Publication year - 1989
Publication title -
neurosurgery/neurosurgery online
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.485
H-Index - 34
eISSN - 1081-1281
pISSN - 0148-396X
DOI - 10.1227/00006123-198905000-00015
Subject(s) - medicine , doppler sonography , transcranial doppler , radiology , carotid cavernous fistula , cavernous sinus
The availability of transcranial Doppler sonography has resulted in an easy, noninvasive, reproducible, and highly reliable method for evaluating the flow characteristics of carotid-cavernous sinus fistulas. It also allows the follow-up of the effect of different interventional measures, specifically, embolization with detachable balloons. An illustrative case is reported, in which the findings of serial transcranial Doppler sonograms are correlated with findings on computed tomographic scans and angiograms. The impact of our findings on future approaches to the hemodynamic classification of these acquired vascular shunts is discussed.