Traumatic carotid-cavernous fistula at the anterior ascending segment of the internal carotid artery in a pediatric patient |
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| Authors: | Wellingson Silva Paiva Almir Ferreira de Andrade André Beer-Furlan Iuri Santana Neville Gustavo S Noleto Luca Silveira Bernardo Jose Guilherme Caldas Manoel Jacobsen Teixeira |
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| Institution: | 1. Division of Neurosurgery, Hospital das Clinicas, University of S?o Paulo Medical School, Eneas Aguiar Street, 255 Office 4080, 05403010, Sao Paulo, Brazil
2. Institute of Radiology, Hospital das Clinicas, University of S?o Paulo Medical School, Sao Paulo, Brazil
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| Abstract: | 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. |
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