Delayed carotid-cavernous fistula and multiple cranial neuropathy following basal skull fracture

David W. Cahill; Krishna C.V.G. Rao; Thomas B. Ducker

doi:10.1016/S0090-3019(81)80052-3

Delayed carotid-cavernous fistula and multiple cranial neuropathy following basal skull fracture

David W. Cahill, Krishna C.V.G. Rao, Thomas B. Ducker

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

A case of basilar skull fracture associated with palsies of the 3rd through 10th cranial nerves on the ipsilateral side is presented. Three months after the initial injury, despite return of significant ocular movement, proptosis and conjunctival congestion heralded the onset of an ipsilateral carotid-cavernous fistula. Angiography revealed the presence of a carotid-cavernous fistula; however, the ipsilateral carotid artery was occluded in the neck. A single pathophysiological mechanism is proposed to account for this unique series of events.

Original language	English (US)
Pages (from-to)	17-22
Number of pages	6
Journal	Surgical neurology
Volume	16
Issue number	1
DOIs	https://doi.org/10.1016/S0090-3019(81)80052-3
State	Published - Jul 1981
Externally published	Yes

Keywords

basilar skull fracture
carotid-cavernous fistula
cranial nerve palsies
internal carotid occlusion
trauma

ASJC Scopus subject areas

Surgery
Clinical Neurology

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10.1016/S0090-3019(81)80052-3

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title = "Delayed carotid-cavernous fistula and multiple cranial neuropathy following basal skull fracture",

abstract = "A case of basilar skull fracture associated with palsies of the 3rd through 10th cranial nerves on the ipsilateral side is presented. Three months after the initial injury, despite return of significant ocular movement, proptosis and conjunctival congestion heralded the onset of an ipsilateral carotid-cavernous fistula. Angiography revealed the presence of a carotid-cavernous fistula; however, the ipsilateral carotid artery was occluded in the neck. A single pathophysiological mechanism is proposed to account for this unique series of events.",

keywords = "basilar skull fracture, carotid-cavernous fistula, cranial nerve palsies, internal carotid occlusion, trauma",

author = "Cahill, {David W.} and Rao, {Krishna C.V.G.} and Ducker, {Thomas B.}",

year = "1981",

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AU - Cahill, David W.

AU - Rao, Krishna C.V.G.

AU - Ducker, Thomas B.

PY - 1981/7

Y1 - 1981/7

N2 - A case of basilar skull fracture associated with palsies of the 3rd through 10th cranial nerves on the ipsilateral side is presented. Three months after the initial injury, despite return of significant ocular movement, proptosis and conjunctival congestion heralded the onset of an ipsilateral carotid-cavernous fistula. Angiography revealed the presence of a carotid-cavernous fistula; however, the ipsilateral carotid artery was occluded in the neck. A single pathophysiological mechanism is proposed to account for this unique series of events.

AB - A case of basilar skull fracture associated with palsies of the 3rd through 10th cranial nerves on the ipsilateral side is presented. Three months after the initial injury, despite return of significant ocular movement, proptosis and conjunctival congestion heralded the onset of an ipsilateral carotid-cavernous fistula. Angiography revealed the presence of a carotid-cavernous fistula; however, the ipsilateral carotid artery was occluded in the neck. A single pathophysiological mechanism is proposed to account for this unique series of events.

KW - basilar skull fracture

KW - carotid-cavernous fistula

KW - cranial nerve palsies

KW - internal carotid occlusion

KW - trauma

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EP - 22

JO - Surgical neurology

JF - Surgical neurology

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Delayed carotid-cavernous fistula and multiple cranial neuropathy following basal skull fracture

Abstract

Keywords

ASJC Scopus subject areas

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