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Traumatic Carotid Cavernous Fistula
Anne G. Osborn, MD, FACR; Perry P. Ng, MBBS (Hons), FRANZCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Carotid cavernous fistula (CCF)
          • Synonyms

            • Direct CCF, high-flow CCF
          • Definitions

            • Single-hole tear/transection of cavernous internal carotid artery (ICA) with arteriovenous shunt into cavernous sinus (CS)

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          CLINICAL ISSUES

                          • Presentation

                            • Natural History & Prognosis

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                • Reporting Tips

                                  Selected References

                                  1. Chi CT et al: Direct traumatic carotid cavernous fistula: angiographic classification and treatment strategies. Study of 172 cases. Interv Neuroradiol. 20(4):461-75, 2014
                                  2. Aralasmak A et al: Venous drainage patterns in carotid cavernous fistulas. ISRN Radiol. 2014:760267, 2014
                                  3. Yu Y et al: Use of onyx for transarterial balloon-assisted embolization of traumatic carotid cavernous fistulas: a report of 23 cases. AJNR Am J Neuroradiol. 33(7):1305-9, 2012
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Carotid cavernous fistula (CCF)
                                          • Synonyms

                                            • Direct CCF, high-flow CCF
                                          • Definitions

                                            • Single-hole tear/transection of cavernous internal carotid artery (ICA) with arteriovenous shunt into cavernous sinus (CS)

                                          IMAGING

                                          • General Features

                                            • CT Findings

                                              • MR Findings

                                                • Ultrasonographic Findings

                                                  • Angiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Natural History & Prognosis

                                                              DIAGNOSTIC CHECKLIST

                                                              • Image Interpretation Pearls

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Chi CT et al: Direct traumatic carotid cavernous fistula: angiographic classification and treatment strategies. Study of 172 cases. Interv Neuroradiol. 20(4):461-75, 2014
                                                                  2. Aralasmak A et al: Venous drainage patterns in carotid cavernous fistulas. ISRN Radiol. 2014:760267, 2014
                                                                  3. Yu Y et al: Use of onyx for transarterial balloon-assisted embolization of traumatic carotid cavernous fistulas: a report of 23 cases. AJNR Am J Neuroradiol. 33(7):1305-9, 2012