Spontaneous intracerebral hematoma in carotid-cavernous fistula

Report of three cases

Donn M. TurnerDivision of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

Search for other papers by Donn M. Turner in
Current site
Google Scholar
PubMed
Close
 M.D.
,
John C. VangilderDivision of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

Search for other papers by John C. Vangilder in
Current site
Google Scholar
PubMed
Close
 M.D.
,
Saeid MojtahediDivision of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

Search for other papers by Saeid Mojtahedi in
Current site
Google Scholar
PubMed
Close
 M.D.
, and
Eric W. PiersonDivision of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

Search for other papers by Eric W. Pierson in
Current site
Google Scholar
PubMed
Close
 M.D.
Restricted access

Purchase Now

USD  $45.00

JNS + Pediatrics - 1 year subscription bundle (Individuals Only)

USD  $515.00

JNS + Pediatrics + Spine - 1 year subscription bundle (Individuals Only)

USD  $612.00
USD  $45.00
USD  $515.00
USD  $612.00
Print or Print + Online Sign in

✓ Spontaneous intracerebral hematoma associated with carotid-cavernous fistula is rare. Three new cases are presented. In each, the hemorrhage originated in the vicinity of localized intracranial venous engorgement, as demonstrated by cerebral angiography. Rupture of one or several of the distended venous channels from increased back-flow is postulated as the etiology of the intraparenchymal hematomas.

  • Collapse
  • Expand
  • 1.

    Ambler MW, , Moon AC, & Sturner WQ: Bilateral carotid-cavernous fistulae of mixed types with unusual radiological and neuropathological findings. Case report. J Neurosurg 48:117124, 1978 Ambler MW, Moon AC, Sturner WQ: Bilateral carotid-cavernous fistulae of mixed types with unusual radiological and neuropathological findings. Case report. J Neurosurg 48:117–124, 1978

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Barrow DL, , Fleischer AS, & Hoffman JC: Complications of detachable balloon catheter technique in the treatment of traumatic intracranial arteriovenous fistulas. J Neurosurg 56:396403, 1982 Barrow DL, Fleischer AS, Hoffman JC: Complications of detachable balloon catheter technique in the treatment of traumatic intracranial arteriovenous fistulas. J Neurosurg 56:396–403, 1982

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Bartlow B, & Penn RD: Carotid-cavernous sinus fistula presenting as a posterior fossa mass. Case report. J Neurosurg 42:585588, 1975 Bartlow B, Penn RD: Carotid-cavernous sinus fistula presenting as a posterior fossa mass. Case report. J Neurosurg 42:585–588, 1975

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Browder J: Treatment of carotid artery-cavernous sinus fistula. Report of a case. Arch Ophthalmol 18:95102, 1937 Browder J: Treatment of carotid artery-cavernous sinus fistula. Report of a case. Arch Ophthalmol 18:95–102, 1937

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Cairns H: Vascular aspects of head injuries. Lisboa Med 19:375410, 1942 Cairns H: Vascular aspects of head injuries. Lisboa Med 19:375–410, 1942

    • Search Google Scholar
    • Export Citation
  • 6.

    Dandy WE: The treatment of carotid-cavernous arteriovenous aneurysms. Ann Surg 102:916926, 1935 Dandy WE: The treatment of carotid-cavernous arteriovenous aneurysms. Ann Surg 102:916–926, 1935

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Dandy WE, & Follis RH Jr: On the pathology of carotid-cavernous aneurysms (pulsating exophthalmos). Am J Ophthalmol 24:365385, 1941 Dandy WE, Follis RH Jr: On the pathology of carotid-cavernous aneurysms (pulsating exophthalmos). Am J Ophthalmol 24:365–385, 1941

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Debrun G, , Lacour P, & Caron JP, et al: Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg 49:635649, 1978 Debrun G, Lacour P, Caron JP, et al: Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg 49:635–649, 1978

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    de Schweinitz GE, & Holloway TB: Pulsating Exophthalmos. Its Etiology, Symptomatology, Pathogenesis, and Treatment. Philadelphia: WB Saunders, 1908, 124 pp de Schweinitz GE, Holloway TB: Pulsating Exophthalmos. Its Etiology, Symptomatology, Pathogenesis, and Treatment.Philadelphia: WB Saunders, 1908, 124 pp

    • Search Google Scholar
    • Export Citation
  • 10.

    Descuns P, , Collet M, & Jubier P, et al: Epistaxis cataclysmiques post-traumatiques. Conduite à tenir. Rev Otoneuroophtalmol 43:161166, 1971 Descuns P, Collet M, Jubier P, et al: Epistaxis cataclysmiques post-traumatiques. Conduite à tenir. Rev Otoneuroophtalmol 43:161–166, 1971

    • Search Google Scholar
    • Export Citation
  • 11.

    Hamby WB: Carotid-Cavernous Fistula. Springfield, Ill: Charles C Thomas, 1966, 139 pp Hamby WB: Carotid-Cavernous Fistula.Springfield, Ill: Charles C Thomas, 1966, 139 pp

    • Search Google Scholar
    • Export Citation
  • 12.

    Hamby WB: Carotid-cavernous fistula. Report of 32 surgically treated cases and suggestions for definitive operation. J Neurosurg 21:859866, 1964 Hamby WB: Carotid-cavernous fistula. Report of 32 surgically treated cases and suggestions for definitive operation. J Neurosurg 21:859–866, 1964

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Hamby WB, & Gardner JW: Treatment of pulsating exophthalmos with report of two cases. Arch Surg 27:676685, 1933 Hamby WB, Gardner JW: Treatment of pulsating exophthalmos with report of two cases. Arch Surg 27:676–685, 1933

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Hamilton JG: Massive epistaxis following closed head injury. Guys Hosp Rep 102:360367, 1953 Hamilton JG: Massive epistaxis following closed head injury. Guys Hosp Rep 102:360–367, 1953

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Harkness GF: Intracranial arterio-venous aneurysm: pulsating exophthalmos. Int J Med Surg 43:243249, 1930 Harkness GF: Intracranial arterio-venous aneurysm: pulsating exophthalmos. Int J Med Surg 43:243–249, 1930

    • Search Google Scholar
    • Export Citation
  • 16.

    Ishimori S, , Hattori M, & Shibata Y, et al: Treatment of carotid-cavernous fistula by Gelfoam embolization. J Neurosurg 27:315319, 1967 Ishimori S, Hattori M, Shibata Y, et al: Treatment of carotid-cavernous fistula by Gelfoam embolization. J Neurosurg 27:315–319, 1967

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Katsiotis P, , Kiriakopoulos C, & Taptas J: Carotid-cavernous sinus fistulae and dural arteriovenous shunts. Vasc Surg 8:6069, 1974 Katsiotis P, Kiriakopoulos C, Taptas J: Carotid-cavernous sinus fistulae and dural arteriovenous shunts. Vasc Surg 8:60–69, 1974

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Keane JR, & Talalla A: Posttraumatic intercavernous aneurysm. Epistaxis with monocular blindness preceded by chromatopsia. Arch Ophthalmol 87:701705, 1972 Keane JR, Talalla A: Posttraumatic intercavernous aneurysm. Epistaxis with monocular blindness preceded by chromatopsia. Arch Ophthalmol 87:701–705, 1972

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Lee SH, , Burton CV, & Chan GH: Post-traumatic ophthalmic vein arterialization. Surg Neurol 4:483484, 1975 Lee SH, Burton CV, Chan GH: Post-traumatic ophthalmic vein arterialization. Surg Neurol 4:483–484, 1975

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Lister JR, & Sypert GW: Traumatic false aneurysm and carotid-cavernous fistula: a complication of sphenoidotomy. Neurosurgery 5:473475, 1979 Lister JR, Sypert GW: Traumatic false aneurysm and carotid-cavernous fistula: a complication of sphenoidotomy. Neurosurgery 5:473–475, 1979

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Locke CE Jr: Intracranial arterio-venous aneurism or pulsating exophthalmos. Ann Surg 80:1 285 1–24, 272–285, 1924 Locke CE Jr: Intracranial arterio-venous aneurism or pulsating exophthalmos. Ann Surg 80:1–24, 272–285, 1924

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Martin JD Jr, & Mabon RF: Pulsating exophthalmos. Review of all reported cases. JAMA 121:330335, 1943 Martin JD Jr, Mabon RF: Pulsating exophthalmos. Review of all reported cases. JAMA 121:330–335, 1943

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Maurer JJ, , Mills M, & German WJ: Triad of unilateral blindness, orbital fractures and massive epistaxis after head injury. J Neurosurg 18:837840, 1961 Maurer JJ, Mills M, German WJ: Triad of unilateral blindness, orbital fractures and massive epistaxis after head injury. J Neurosurg 18:837–840, 1961

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    McClure CC Jr, & Gardner WJ: Transorbital intracranial stab wounds. Cleve Clin Q 16:118126, 1949 McClure CC Jr, Gardner WJ: Transorbital intracranial stab wounds. Cleve Clin Q 16:118–126, 1949

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    McCormick WF, & Beals JD: Severe epistaxis caused by ruptured aneurysm of the internal carotid artery. J Neurosurg 21:678686, 1964 McCormick WF, Beals JD: Severe epistaxis caused by ruptured aneurysm of the internal carotid artery. J Neurosurg 21:678–686, 1964

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Mullan S: Treatment of carotid-cavernous fistulas by cavernous sinus occlusion. J Neurosurg 50:131144, 1979 Mullan S: Treatment of carotid-cavernous fistulas by cavernous sinus occlusion. J Neurosurg 50:131–144, 1979

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Nunneley T: On vascular protrusion of the eyeball. Med Chir Trans 48:1537, 1865 Nunneley T: On vascular protrusion of the eyeball. Med Chir Trans 48:15–37, 1865

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Parkinson D: Carotid cavernous fistula: direct repair with preservation of the carotid artery. Technical note. J Neurosurg 38:99106, 1973 Parkinson D: Carotid cavernous fistula: direct repair with preservation of the carotid artery. Technical note. J Neurosurg 38:99–106, 1973

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Parkinson D: Collateral circulation of cavernous carotid artery: Anatomy. Can J Surg 7:251268, 1964 Parkinson D: Collateral circulation of cavernous carotid artery: Anatomy. Can J Surg 7:251–268, 1964

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Parkinson D: A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg 23:474483, 1965 Parkinson D: A surgical approach to the cavernous portion of the carotid artery. Anatomical studies and case report. J Neurosurg 23:474–483, 1965

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Petty JM: Epistaxis from aneurysm of the internal carotid artery due to a gunshot wound. Case report. J Neurosurg 30:741743, 1969 Petty JM: Epistaxis from aneurysm of the internal carotid artery due to a gunshot wound. Case report. J Neurosurg 30:741–743, 1969

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Robbins JB, , Fitz-hugh GS, & Jane JA: Intracranial carotid catastrophies encountered by the otolaryngologist. Laryngoscope 86:893902, 1976 Robbins JB, Fitz-hugh GS, Jane JA: Intracranial carotid catastrophies encountered by the otolaryngologist. Laryngoscope 86:893–902, 1976

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Sanders MD, & Hoyt WF: Hypoxic ocular sequelae of carotid-cavernous fistulae. Study of the causes of visual failure before and after neurosurgical treatment in a series of 25 cases. Br J Ophthalmol 53:8297, 1969 Sanders MD, Hoyt WF: Hypoxic ocular sequelae of carotid-cavernous fistulae. Study of the causes of visual failure before and after neurosurgical treatment in a series of 25 cases. Br J Ophthalmol 53:82–97, 1969

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34.

    Sattler CH: Pulsierender Exophthalmus. Handbuch der Gesamten Augenheilkunde. Berlin: Julius Springer, 1920, pp 1268 Sattler CH: Pulsierender Exophthalmus. Handbuch der Gesamten Augenheilkunde.Berlin: Julius Springer, 1920, pp 1–268

    • Search Google Scholar
    • Export Citation
  • 35.

    Sedzimir CB, & Occleshaw JV: Treatment of carotid-cavernous fistula by muscle embolization and Jaeger's maneuver. J Neurosurg 22:309314, 1967 Sedzimir CB, Occleshaw JV: Treatment of carotid-cavernous fistula by muscle embolization and Jaeger's maneuver. J Neurosurg 22:309–314, 1967

    • Search Google Scholar
    • Export Citation
  • 36.

    Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125145, 1974 Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145, 1974

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    Shirai S, , Tomono Y, & Owada T, et al: Traumatic aneurysm of the internal carotid artery. Report of a case with late severe epistaxis. Eur Neurol 15:212216, 1977 Shirai S, Tomono Y, Owada T, et al: Traumatic aneurysm of the internal carotid artery. Report of a case with late severe epistaxis. Eur Neurol 15:212–216, 1977

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    Spencer WH, , Thompson HS, & Hoyt WF: Ischaemic ocular necrosis from carotid cavernous fistula. Pathology of stagnant anoxic “inflammation” in orbital and ocular tissues. Br J Ophthalmol 57:145152, 1973 Spencer WH, Thompson HS, Hoyt WF: Ischaemic ocular necrosis from carotid cavernous fistula. Pathology of stagnant anoxic “inflammation” in orbital and ocular tissues. Br J Ophthalmol 57:145–152, 1973

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 39.

    Stern WE, , Brown WJ, & Alksne JF: The surgical challenge of carotid-cavernous fistula: the critical role of intracranial circulatory dynamics. J Neurosurg 27:298308, 1967 Stern WE, Brown WJ, Alksne JF: The surgical challenge of carotid-cavernous fistula: the critical role of intracranial circulatory dynamics. J Neurosurg 27:298–308, 1967

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 40.

    Taniguchi RM, , Goree JA, & Odom GL: Spontaneous carotid-cavernous shunts presenting diagnostic problems. J Neurosurg 35:384391, 1971 Taniguchi RM, Goree JA, Odom GL: Spontaneous carotid-cavernous shunts presenting diagnostic problems. J Neurosurg 35:384–391, 1971

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41.

    Travers B: A case of aneurysm by anastomosis in the orbit cured by ligation of the common carotid artery. Trans Med Chir Soc 2:116, 1809 Travers B: A case of aneurysm by anastomosis in the orbit cured by ligation of the common carotid artery. Trans Med Chir Soc 2:1–16, 1809

    • Search Google Scholar
    • Export Citation
  • 42.

    Voris HC, & Basile JXR; Recurrent epistaxis from aneurysm of the internal carotid artery. Case report with cure by operation. J Neurosurg 18:841842, 1961 Voris HC, Basile JXR; Recurrent epistaxis from aneurysm of the internal carotid artery. Case report with cure by operation. J Neurosurg 18:841–842, 1961

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 43.

    Wagner GAL: Epistaxis. J Otolaryngol 7:545548, 1978 Wagner GAL: Epistaxis. J Otolaryngol 7:545–548, 1978

  • 44.

    Walker AE, & Allègre GE: Carotid-cavernous fistulas. Surgery 39:411422, 1956 Walker AE, Allègre GE: Carotid-cavernous fistulas. Surgery 39:411–422, 1956

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 45.

    Weaver DF, , Gates EM, & Nielsen AE: Traumatic intracranial vascular lesions producing late massive nasal hemorrhage. Trans Am Acad Ophthalmol Otolaryngol 65:759774, 1961 Weaver DF, Gates EM, Nielsen AE: Traumatic intracranial vascular lesions producing late massive nasal hemorrhage. Trans Am Acad Ophthalmol Otolaryngol 65:759–774, 1961

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 46.

    Wilson CB, & Markesbery W: Traumatic carotid-cavernous fistula with fatal epistaxis. Report of a case. J Neurosurg 24:111113, 1966 Wilson CB, Markesbery W: Traumatic carotid-cavernous fistula with fatal epistaxis. Report of a case. J Neurosurg 24:111–113, 1966

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 47.

    Wolff H, & Schmid B: Das Arteriogramm des pulsierenden Exophthalmus. Zentralbl Neurochir 4:241250, 1939 Wolff H, Schmid B: Das Arteriogramm des pulsierenden Exophthalmus. Zentralbl Neurochir 4:241–250, 1939

    • Search Google Scholar
    • Export Citation

Metrics

All Time Past Year Past 30 Days
Abstract Views 421 97 5
Full Text Views 192 2 0
PDF Downloads 115 4 0
EPUB Downloads 0 0 0