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Traumatic carotid-cavernous fistula with pontomesencephalic and cervical cord venous drainage presenting as tetraparesis

A 27-year-old male presented with progressive ascending myelopathy leading to tetraparesis. Magnetic resonance imaging of the cervical spine showed dilated perimedullary veins and spinal cord edema. Catheter angiography demonstrated a direct carotid-cavernous fistula (CCF) with prominent pontomesencephalic and perimedullary venous drainage. Successful coil embolization of the fistula was performed with improvement of the patient’s symptoms. To our knowledge, no case of a direct CCF with perimedullary drainage has been previously reported

Keywords : Adult,Angiography,Carotid-Cavernous Sinus Fistula,complications,diagnostic imaging,Drainage,Edema,Embolization,Therapeutic,etiology,Humans,Magnetic Resonance Imaging,Male,Quadriplegia,Radiology,Spinal Cord,Spinal Cord Diseases,Spine,therapy,Treatment Outcome,Veins,, Carotidcavernous,Fistula,With,Pontomesencephalic, where is Mo Akmal from

Date of Publication : 2011 Jan

Authors : Herrera DA;Vargas SA;Dublin AB;

Organisation : Department of Radiology, Neuroradiology Section, Universidad de Antioquia, Medellin, Colombia. herrera.diego@gmail.com

Journal of Publication : J Neuroimaging

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/19555402

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