Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient

Introduction Traumatic carotid-cavernous fistula (CCF) in children is a rare condition. Early diagnosis and treatment is still a challenge, and it is associated with good neurological recovery. Case summary We present a rare case of a 10-year-old boy with mild head trauma, who developed a CCF at the...

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Bibliographic Details
Published in:Child's nervous system 2013-12, Vol.29 (12), p.2287-2290
Main Authors: Paiva, Wellingson Silva, de Andrade, Almir Ferreira, Beer-Furlan, André, Neville, Iuri Santana, Noleto, Gustavo S., Bernardo, Luca Silveira, Caldas, Jose Guilherme, Teixeira, Manoel Jacobsen
Format: Article
Language:English
Subjects:
Adolescent
Carotid artery
Carotid Artery, Internal - pathology
Carotid-Cavernous Sinus Fistula - etiology
Carotid-Cavernous Sinus Fistula - pathology
Carotid-Cavernous Sinus Fistula - surgery
Cerebral Angiography
Craniocerebral Trauma - complications
Embolization, Therapeutic
Humans
Male
Medicine
Medicine & Public Health
Neuroendoscopy
Neurosciences
Neurosurgery
Review Paper
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Summary:Introduction Traumatic carotid-cavernous fistula (CCF) in children is a rare condition. Early diagnosis and treatment is still a challenge, and it is associated with good neurological recovery. Case summary We present a rare case of a 10-year-old boy with mild head trauma, who developed a CCF at the anterior segment of the ascending internal carotid artery. The patient was treated with endovascular coil embolization and evolved with a favorable outcome. Discussion Most of reports in the literature address the traumatic CCF in adult patients, in which early treatment may prevent poor recovery or fatal outcomes. The diagnosis and management of this condition are discussed based on a literature review. Conclusion It is important to keep a high degree of suspicion for CCF, especially in traumatic head injury associated with skull base fracture, since the early diagnosis and treatment may prevent potentially permanent neurological deficits.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-013-2303-5