Y�z b�lgesine ate�li silah yaralanmas� sonras� g�rme kayb� ile ba�vuran ve endovask�ler tedavi sonras� semptomlar� d�zelen gecikmi� karotikokavern�z fist�l olgusu

Alag�z, Fatih; Y�lmaz, Fevzi; S�nmez, Bedriye M�ge; Y�ld�r�m, Ali Erdem; Karak�l��, Muhammed Evvah

Cilt : 22 Say� : 2 Y�l : 2024

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Y�z b�lgesine ate�li silah yaralanmas� sonras� g�rme kayb� ile ba�vuran ve endovask�ler tedavi sonras� semptomlar� d�zelen gecikmi� karotikokavern�z fist�l olgusu [Ulus Travma Acil Cerrahi Derg]

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

Y�z b�lgesine ate�li silah yaralanmas� sonras� g�rme kayb� ile ba�vuran ve endovask�ler tedavi sonras� semptomlar� d�zelen gecikmi� karotikokavern�z fist�l olgusu

Fatih Alag�z¹, Fevzi Y�lmaz², Bedriye M�ge S�nmez², Ali Erdem Y�ld�r�m¹, Muhammed Evvah Karak�l��²
¹Ankara Numune E�itim Ve Ara�t�rma Hastanesi, Beyin Cerrahisi Klini�i, Ankara
²Ankara Numune E�itim Ve Ara�t�rma Hastanesi, Acil T�p Klini�i, Ankara

Karotit kavern�z fist�ller karotis arter ve kavern�z sin�s aras�ndaki anormal ba�lant�lard�r. K�nt ve penetran kafa yaralanmalar� karotikokavern�z fist�l ile sonu�lanabilir. Her ne kadar nadir olarak ortaya ��ksa da tan�s� acil serviste konabilir. Bu yaz�da, 35 g�n �nce y�z�ne ate�li silah yaralanmas�ndan sonra sa� g�z�nde k�zar�kl�k, a�r�, g�rmede bulan�kl�k, g�rme kayb� ve y�z�n �st yar�s�nda �i�me �ikayeti ile acil servise ba�vuran 26 ya��ndaki hasta sunuldu.

Anahtar Kelimeler: Ate�li silah yaralanmas�, endovask�ler giri�im, endovask�ler tedavi, karotid kavern�z fist�l.

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

Fatih Alag�z¹, Fevzi Y�lmaz², Bedriye M�ge S�nmez², Ali Erdem Y�ld�r�m¹, Muhammed Evvah Karak�l��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.

Sorumlu Yazar: Fevzi Y�lmaz, T�rkiye
Makale Dili: �ngilizce

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