¨Ï The Journal of Cerebrovascular and Endovascular Neurosurgery
Delayed intracerebral hemorrhage from a traumatic carotid-cavernous fistula associated with an enucleated orbit
Richard Bram, Nauman Chaudhry, Jason Lee Choi, Gursant Atwal
Department of Neurosurgery, Neuropsychiatric Institute, University of Illinois at Chicago, Chicago, IL, USA
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.
Key words : Carotid-cavernous fistula, Intracerebral hemorrhage, Traumatic fistula, Venous hypertension, Orbital trauma
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The Journal of Cerebrovascular and Endovascular Neurosurgery (JCEN), Department of Neurosurgery, Wonkwang University
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