Delayed detection of carotid-cavernous fistulas associated with wartime blast-induced craniofacial trauma

Sudhakar Vadivelu; Randy Scott Bell; Ben Crandall; Tom DeGraba; Rocco A. Armonda

doi:10.3171/2010.2.FOCUS09257

Delayed detection of carotid-cavernous fistulas associated with wartime blast-induced craniofacial trauma

Sudhakar Vadivelu, Randy Scott Bell, Ben Crandall, Tom DeGraba, Rocco A. Armonda^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Blast-induced neurotrauma is a leading cause of military casualties. Its effects on cerebrovascular structures are not well understood. Vascular injury resulting from overpressure shock wave impact may have a delayed presentation and detection. The authors present the cases of 2 patients who sustained blast-induced craniofacial trauma and brain injury. Detection of a cervical dissection was delayed in one patient, and detection of carotid-cavernous fistulas was delayed in both patients. The authors report the successful obliteration of both the dissection and the carotidcavernous fistulas via an endovascular approach. Endovascular management provides both a reasonable and effective therapeutic option to blast-induced cerebrovascular injuries.

Original language	English
Pages (from-to)	1-5
Number of pages	5
Journal	Neurosurgical Focus
Volume	28
Issue number	5
DOIs	https://doi.org/10.3171/2010.2.FOCUS09257
State	Published - May 2010
Externally published	Yes

Keywords

Blast injury
Craniofacial trauma
Missile injury
Overpressure wave
Transarterial embolization
Vasospasm

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10.3171/2010.2.FOCUS09257

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abstract = "Blast-induced neurotrauma is a leading cause of military casualties. Its effects on cerebrovascular structures are not well understood. Vascular injury resulting from overpressure shock wave impact may have a delayed presentation and detection. The authors present the cases of 2 patients who sustained blast-induced craniofacial trauma and brain injury. Detection of a cervical dissection was delayed in one patient, and detection of carotid-cavernous fistulas was delayed in both patients. The authors report the successful obliteration of both the dissection and the carotidcavernous fistulas via an endovascular approach. Endovascular management provides both a reasonable and effective therapeutic option to blast-induced cerebrovascular injuries.",

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AU - DeGraba, Tom

AU - Armonda, Rocco A.

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AB - Blast-induced neurotrauma is a leading cause of military casualties. Its effects on cerebrovascular structures are not well understood. Vascular injury resulting from overpressure shock wave impact may have a delayed presentation and detection. The authors present the cases of 2 patients who sustained blast-induced craniofacial trauma and brain injury. Detection of a cervical dissection was delayed in one patient, and detection of carotid-cavernous fistulas was delayed in both patients. The authors report the successful obliteration of both the dissection and the carotidcavernous fistulas via an endovascular approach. Endovascular management provides both a reasonable and effective therapeutic option to blast-induced cerebrovascular injuries.

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KW - Transarterial embolization

KW - Vasospasm

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Delayed detection of carotid-cavernous fistulas associated with wartime blast-induced craniofacial trauma

Abstract

Keywords

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