Ulus Travma Acil Cerrahi Derg. 2016; 22(2): 199-201 | DOI: 10.5505/tjtes.2015.18234

A case of delayed carotid cavernous fistula after facial gunshot injury presented as loss of vision with symptom resolution after endovascular closure procedure

Fatih Alagöz¹, Fevzi Yýlmaz², Bedriye Müge Sönmez², Ali Erdem Yýldýrým¹, Muhammed Evvah Karakýlýç^2
1Ankara Numune Training And Research Hospital, Department Of Neurosurgery, Ankara, Turkey.
²Ankara Numune Training And Research Hospital, Department Of Emergency Medicine, Ankara, Turkey.

Carotid cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus (CS), and can occur as a result of blunt and penetrating head injuries. While occurrence is rare, diagnosis can be made in the emergency department. Described in the present report is the case of a 26-year-old man who presented with complaints of pain, redness, blurred and loss of vision in the right eye, and swelling of the upper face due to a gunshot injury he had sustained 35 days prior.

Keywords: Carotid cavernous fistula, endovascular intervention, endovascular treatment, gunshot injury.

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Yüz bölgesine ateþli silah yaralanmasý sonrasý görme kaybý ile baþvuran ve endovasküler tedavi sonrasý semptomlarý düzelen gecikmiþ karotikokavernöz fistül olgusu

Fatih Alagöz¹, Fevzi Yýlmaz², Bedriye Müge Sönmez², Ali Erdem Yýldýrým¹, Muhammed Evvah Karakýlýç^2
1Ankara Numune Eðitim Ve Araþtýrma Hastanesi, Beyin Cerrahisi Kliniði, Ankara
²Ankara Numune Eðitim Ve Araþtýrma Hastanesi, Acil Týp Kliniði, Ankara

Karotit kavernöz fistüller karotis arter ve kavernöz sinüs arasýndaki anormal baðlantýlardýr. Künt ve penetran kafa yaralanmalarý karotikokavernöz fistül ile sonuçlanabilir. Her ne kadar nadir olarak ortaya çýksa da tanýsý acil serviste konabilir. Bu yazýda, 35 gün önce yüzüne ateþli silah yaralanmasýndan sonra sað gözünde kýzarýklýk, aðrý, görmede bulanýklýk, görme kaybý ve yüzün üst yarýsýnda þiþme þikayeti ile acil servise baþvuran 26 yaþýndaki hasta sunuldu.

Anahtar Kelimeler: Ateþli silah yaralanmasý, endovasküler giriþim, endovasküler tedavi, karotid kavernöz fistül.

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