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Journal of Korean Neurosurgical Society 2011;50(2): 126-129.
doi: https://doi.org/10.3340/jkns.2011.50.2.126
Cerebral Hemorrhage after Endovascular Treatment of Bilateral Traumatic Carotid Cavernous Fistulae with Covered Stents.
Kwang Chun Cho, Dae Hee Seo, Il Seung Choe, Sung Choon Park
Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea. psc710@kd.ac.kr
ABSTRACT
Bilateral traumatic carotid-cavernous fistulae (TCCFs) is rarely encountered neurovascular disease. For treatment of TCCF, detachable balloons have been widely used. Nowadays, transarterial and/or transvenous coil embolization with placement of covered stents is adopted as another treatment method. We experienced a patient with a bilateral TCCFs who was successfully treated with covered stents. However, cerebral hemorrhage occurred in the bed of previous infarction one day after treatment. Hyperperfusion syndrome was considered as a possible cause of the hemorrhage, so that barbiturate coma therapy was started and progression of hemorrhage was stopped. We emphasize that cerebral hyperperfusion hemorrhage can occur even after successful endovascular treatment of TCCF.
Key Words: Carotid-cavernous fistulae; Endovascular treatment; Cerebral hemorrhage
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