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Neuro-ophthalmic features of carotid cavernous fistulas and their treatment by endoarterial balloon embolisation.
  1. D Brosnahan,
  2. R M McFadzean,
  3. E Teasdale
  1. Institute of Neurological Sciences, Glasgow.


    The neuro-ophthalmic features of 11 traumatic carotid cavernous fistulas and their successful occlusion by endoarterial balloon embolisation is reported. Significant improvement in all neuro-ophthalmic signs and symptoms occurred following treatment, however, ocular motility deficits persisted in 7 patients. All 11 fistulas were occluded and the patency of the internal carotid artery was preserved in 9 patients. Though the internal carotid artery was sacrificed in 2 patients there were no permanent sequelae. Transient complications of the procedure occurred in 2 patients.

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