Treatment of Carotid Cavernous Sinus Fistula by Electrothrombosis using Wire Insertion

DOI

Bibliographic Information

Other Title
  • 頸動脈海綿静脈洞瘻に対する electrothrombosis による治療
  • -海綿静脈洞内へのwire挿入法の工夫-

Abstract

We treated 12 cases of carotid cavernous sinus fistula (CCF) by copper wire insertion into the cavernous sinus through a frontotemporal craniotomy. Five or six copper wires (0.5 mm thick and 10 mm long) were inserted into the Parkinson's Triangle through a 19 gauge spinal tap needle used as a guide needle under microscopical control. The closure of the fistula was verified in 11 cases by postoperative angiography. In one case, the CCF was partially closed. Postoperative intracerebral hematoma in one case and insertion of the wire into the pons in one case were observed. The third or sixth cranial nerve palsy temporarily worsened in 5 cases. But all patients showed full recovery from these complications. The surgical results in these 12 cases suggest that intracavernous thrombosis by copper wire insertion may prove to be the treatment of choice in CCF.

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Details 詳細情報について

  • CRID
    1390282680441242112
  • NII Article ID
    130004668228
  • DOI
    10.2335/scs1987.18.3_337
  • ISSN
    09145508
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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