Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report
We report the case of a 19-year old male patient initially admitted to our service after a motor vehicle accident with a normal neurologic evaluation and a CT scan that revealed no abnormalities. Nineteen months later, he was readmitted after a subtle headache episode, followed by a brief loss of co...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações
2001-09-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400021&tlng=en |
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| author | Clement Hamani Almir Ferreira Andrade Eberval Gadelha Figueiredo Orildo Ciquini Jr. Raul Marino Jr. |
| author_facet | Clement Hamani Almir Ferreira Andrade Eberval Gadelha Figueiredo Orildo Ciquini Jr. Raul Marino Jr. |
| author_sort | Clement Hamani |
| collection | DOAJ |
| description | We report the case of a 19-year old male patient initially admitted to our service after a motor vehicle accident with a normal neurologic evaluation and a CT scan that revealed no abnormalities. Nineteen months later, he was readmitted after a subtle headache episode, followed by a brief loss of consciousness. He was submitted to a complete evaluation, which revealed no abnormalities (even in the neurologic and ophthalmologic exams). A CT was performed revealing a diffuse subarachnoid hemorrhage. Contrast enhancement displayed a right paraselar lesion, which was first interpreted as a giant aneurysm. The patient underwent a cerebral angiography which showed a right carotid-cavernous fistula with retrograde venous drainage through the superior and inferior petrosal sinuses. Filling of various cortical vessels was observed. The patient was treated with endovascular technique and a control angiographic study assured the complete closure of the fistula. He had an excellent clinical recovery, being discharged in good conditions. |
| format | Article |
| id | doaj-art-9283c1e61be44ca4a4e86ff0bfb96cd0 |
| institution | DOAJ |
| issn | 1678-4227 |
| language | English |
| publishDate | 2001-09-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-9283c1e61be44ca4a4e86ff0bfb96cd02025-08-20T03:19:53ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272001-09-01593A59359510.1590/S0004-282X2001000400021Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case reportClement Hamani0Almir Ferreira Andrade1Eberval Gadelha Figueiredo2Orildo Ciquini Jr.3Raul Marino Jr.4Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloWe report the case of a 19-year old male patient initially admitted to our service after a motor vehicle accident with a normal neurologic evaluation and a CT scan that revealed no abnormalities. Nineteen months later, he was readmitted after a subtle headache episode, followed by a brief loss of consciousness. He was submitted to a complete evaluation, which revealed no abnormalities (even in the neurologic and ophthalmologic exams). A CT was performed revealing a diffuse subarachnoid hemorrhage. Contrast enhancement displayed a right paraselar lesion, which was first interpreted as a giant aneurysm. The patient underwent a cerebral angiography which showed a right carotid-cavernous fistula with retrograde venous drainage through the superior and inferior petrosal sinuses. Filling of various cortical vessels was observed. The patient was treated with endovascular technique and a control angiographic study assured the complete closure of the fistula. He had an excellent clinical recovery, being discharged in good conditions.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400021&tlng=encarotid cavernous fistulasubarachnoid hemorrhagehead injury |
| spellingShingle | Clement Hamani Almir Ferreira Andrade Eberval Gadelha Figueiredo Orildo Ciquini Jr. Raul Marino Jr. Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report Arquivos de Neuro-Psiquiatria carotid cavernous fistula subarachnoid hemorrhage head injury |
| title | Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report |
| title_full | Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report |
| title_fullStr | Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report |
| title_full_unstemmed | Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report |
| title_short | Spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas: case report |
| title_sort | spontaneous subarachnoid hemorrhage as the primary manifestation of carotid cavernous fistulas case report |
| topic | carotid cavernous fistula subarachnoid hemorrhage head injury |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2001000400021&tlng=en |
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