Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review
Traumatic carotid-cavernous fistula (TCCF) is a rare occurrence in the pediatric population. However, the neurological sequelae of TCCF are associated with higher morbidity and mortality in pediatric patients. We report the case of a 2-year-old child with TCCF treated at a public hospital in Peru. T...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2023-12-01
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| Series: | Indian Journal of Neurosurgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772158 |
| _version_ | 1797393040671768576 |
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| author | Frank Solis Luis Macha Mauro Toledo Ricardo Gálvez Rosa Ecos |
| author_facet | Frank Solis Luis Macha Mauro Toledo Ricardo Gálvez Rosa Ecos |
| author_sort | Frank Solis |
| collection | DOAJ |
| description | Traumatic carotid-cavernous fistula (TCCF) is a rare occurrence in the pediatric population. However, the neurological sequelae of TCCF are associated with higher morbidity and mortality in pediatric patients. We report the case of a 2-year-old child with TCCF treated at a public hospital in Peru. The etiology of the injury was due to a fall of approximately 5 meters. The diagnosis was made based on the clinical picture and neuroimaging findings. The initial proposed treatment was performed with the hope of preserving the parent artery; however, due to persistence of the TCCF, embolization of the parent artery with coils and embolizing substance was performed. A literature review of similar cases was performed and identified eight cases in children under 10 years of age. Endovascular management of an acute TCCF is a challenge due to the high morbidity and mortality during the acute phase and can be complicated when other traumatic injuries are present. Maintaining the parent artery is important; however, when this is not possible, trapping the parent artery may provide an alternate option when appropriate collaterals exist. |
| first_indexed | 2024-03-08T23:57:22Z |
| format | Article |
| id | doaj.art-0e421554743e4212b73b099d7f743900 |
| institution | Directory Open Access Journal |
| issn | 2277-954X 2277-9167 |
| language | English |
| last_indexed | 2024-03-08T23:57:22Z |
| publishDate | 2023-12-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Neurosurgery |
| spelling | doaj.art-0e421554743e4212b73b099d7f7439002023-12-12T23:52:57ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672023-12-01120325325710.1055/s-0043-1772158Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature ReviewFrank Solis0https://orcid.org/0000-0001-9545-3640Luis Macha1Mauro Toledo2Ricardo Gálvez3Rosa Ecos4Neurological Surgery and Endovascular Neurosurgery, Instituto de Salud del Niño, San Borja, Lima, PeruNeurological Surgery and Endovascular Neurosurgery, Instituto Nacional de Ciencias Neurologicas, Lima, PeruNeurological Surgery and Endovascular Neurosurgery, Instituto de Salud del Niño, San Borja, Lima, PeruResearch Unit, Instituto de Salud del Niño, San Borja, Lima, PeruVascular Neurology, Instituto Nacional de Ciencias Neurologicas, Lima, PeruTraumatic carotid-cavernous fistula (TCCF) is a rare occurrence in the pediatric population. However, the neurological sequelae of TCCF are associated with higher morbidity and mortality in pediatric patients. We report the case of a 2-year-old child with TCCF treated at a public hospital in Peru. The etiology of the injury was due to a fall of approximately 5 meters. The diagnosis was made based on the clinical picture and neuroimaging findings. The initial proposed treatment was performed with the hope of preserving the parent artery; however, due to persistence of the TCCF, embolization of the parent artery with coils and embolizing substance was performed. A literature review of similar cases was performed and identified eight cases in children under 10 years of age. Endovascular management of an acute TCCF is a challenge due to the high morbidity and mortality during the acute phase and can be complicated when other traumatic injuries are present. Maintaining the parent artery is important; however, when this is not possible, trapping the parent artery may provide an alternate option when appropriate collaterals exist.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772158traumatic carotid-cavernous fistulatype A fistulasembolization |
| spellingShingle | Frank Solis Luis Macha Mauro Toledo Ricardo Gálvez Rosa Ecos Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review Indian Journal of Neurosurgery traumatic carotid-cavernous fistula type A fistulas embolization |
| title | Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review |
| title_full | Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review |
| title_fullStr | Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review |
| title_full_unstemmed | Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review |
| title_short | Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review |
| title_sort | challenging management of an acute traumatic carotid cavernous fistula in a 2 year old child with literature review |
| topic | traumatic carotid-cavernous fistula type A fistulas embolization |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0043-1772158 |
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