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Journal of Korean Neurosurgical Society 1991;20(4): 236-241.
Direct Surgical Approach of the Spontaneous Carotid Cavernous Fistula.
Bum Dae Kim, Jang Ho Bae, Sam Kyu Ko, Oh Lyong Kim, Yong Chul Chi, Byun Yon Choi, Soo Ho Cho
Departments of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
We report a case of spontaneous carotid cavernous fistula(CCF) showing low flow shunt, which was successfully occluded in the fistular site of CCF by direct surgical approach via anteromedial, paramedial and Parkinson's triangle intradurally through pterional subte mporal petrosal route extradurally after intermitten temporary clipping of internal corotid artery(ICA) in petrosal portion and proximal to the ophthalmic artery without hypotension, hypothermia, extracorporial circulation, or cardiac arrest.
Key Words: Carotid cavernous fistula; Cavernous sinus; Pterional subtemporal petrosal approach; Direct surgery
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