Spontaneous intracerebral hematoma in carotid-cavernous fistula

Report of three cases

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

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 M.D.
,
John C. Vangilder Division of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

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 M.D.
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Saeid Mojtahedi Division of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

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 M.D.
, and
Eric W. Pierson Division of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa; Neurological Surgery, Lincoln, Nebraska; and Department of Radiology, University of Chicago, Chicago, Illinois

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 M.D.
Page Range:
680–686
Volume/Issue:
Volume 59: Issue 4
DOI link:
https://doi.org/10.3171/jns.1983.59.4.0680
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✓ 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.

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Contributor Notes

Address reprint requests to: Donn M. Turner, M.D., Division of Neurosurgery, University of Iowa Hospitals, Iowa City, Iowa 52242.
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