Open AccessA Direct Carotid-Cavernous Fistula due to Penetrating Trauma by a Knitting Needle to the Temporal Region
Author(s) -
Selçuk Göçmen,
Murat Kutlay,
Cem Atabey,
Ali Kývanc Topuz,
Mehmet Demircan,
Murat Velioğlu
Publication year - 2012
Publication title -
archives of clinical and experimental surgery
Language(s) - English
Resource type - Journals
ISSN - 2146-8133
DOI - 10.5455/aces.20120218123451
Subject(s) - carotid cavernous fistula , penetrating trauma , medicine , fistula , radiology , blunt
Traumatic carotid-cavernous and #64257;stulas (CCF) usually occur after closed head injuries. In addition, CCFs can also be caused by penetrating injuries with stab or gunshot injuries. We present the case of traumatic CCF that was caused with a knitting needle directly penetrating through the temporal region. A 46-year-old man consulted with a progressive left swollen eye. His head computed tomography (CT) revealed a left temporal lobe contusion and fracture of the left temporal bone. Digital subtraction angiography (DSA) showed a direct high-flow fistula (Type-A lesion). After the balloon occlusion test, which was well tolerated by the patient, the internal carotid artery was occluded by the interventional radiologist. A review of the literature demonstrated that all of the traumatic CCFs occurred due to penetrating stab injuries through the orbita. To our knowledge, such a case has not been previously reported. [Arch Clin Exp Surg 2012; 1(4.000): 261-264