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Title: [Dural carotid-cavernous sinus fistulas: clinical aspects, diagnosis and therapeutic intervention]. Author: Hoops JP, Rudolph G, Schriever S, Nasemann JE, Bien S, Küffer G, Schworm HD, Kampik A. Journal: Klin Monbl Augenheilkd; 1997 Jun; 210(6):392-7. PubMed ID: 9333667. Abstract: BACKGROUND: Carotid cavernous fistulas are cerebral artenovenous shunts which may present with ocular or orbital signs. Direct fistulas are distinguished from dural shunts with respect to the anatomical situation. PATIENTS: We report on two patients with spontaneous dural carotid cavernous fistulas with multiple feeding vessels. Both patients required endovascular embolization. RESULTS: Therapy was successful in both patients. We present an overview of the clinical picture, the diagnostic procedure, the differential diagnosis and the therapeutic possibilities in this clinical entity. CONCLUSION: Both patients prove the importance of an immediate differential diagnostical classification so that a specific neuroradiological diagnostic can be ensured. Today's advanced endovascular technology offers therapeutic options with less risk for the patient than in recent years.[Abstract] [Full Text] [Related] [New Search]