Venous bypass ICA-MCA used in a case of traumatic carotid-cavernous fistula
Słoniewski, P.ł; Smida, K.; Zieliński, P.
Neurologia i Neurochirurgia Polska 36(6) 1157-1160; Discussion: 1161-1162
2002
ISSN/ISBN: 0028-3843 PMID: 12715692 Document Number: 546087
The reported case was a boy aged 13 with, traumatic carotido-cavernous fistula admitted to hospital with right exophthalmos and paresis of right abducens nerve. After two failed trials of endo-vascular closure of the fistula it was decided to use venous bypass ICA-MCA (internal carotid artery in its extracranial part--M1 segment of middle cerebral artery) for bypassing the fistula. This made possible closure of the fistula with regression of neurological symptoms.