Management of Carotid Carvenous Fistula in Ghana;Challenges and Opportunities

• 作者: Angelina Ampong Frank Nketiah-Boakye George Asafo Adjaye Frimpong Joseph Adjei Kwarteng Michael Leat Pierre Kusi Aidoo Amankwah Raphael Kofi Vowotor Ronald Awoonor-Williams
• 来源期刊: 外科学(英文)
• 学科: 医学
• 关键词: Carotid-Cavernous FISTULA Direct Indirect SPONTANEOUS Pregnancy Interventional and Radiological
• 年，卷（期）: 2020,（11）
• 页码范围: 354-364
• 页数: 11页
• 分类号: R57

摘要

Carotid-cavernous fistula is an abnormal communication between the carotid artery and the cavernous sinus. The fistula is classified based on its etiology, haemodynamic and anatomical configuration. The most common type is the direct high flow fistula resulting from trauma. Indirect fistula which is less common results from underlying conditions such as hypertension, collagen vascular diseases, pregnancy amongst others. It is in regards with this uncommon occurrence of indirect fistula that we report a case of forty year</span><span>s</span><span> old woman who presented with a left protruding eyeball and headache a month after delivery and was diagnosed with spontaneous type D indirect carotid cavernous fistula with rapidly progressing symptoms. She was referred abroad for interventional radiological services due to unavailability of such services in our facility and country.