Spontaneous carotid-cavernous fistula during pregnancy or in the postpartum stage

Toya, Shigeo; Shiobara, Ryuzo; Izumi, J.; Shinomiya, Youichi; Shiga, Hayao; Kimura, Chojiro

doi:10.3171/jns.1981.54.2.0252

Cited by 56 publications

(20 citation statements)

References 7 publications

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“…3 However, spontaneous improvement of CCFs during or just after pregnancy appears to be rare. 9 Toya et al 10 reported such an occurrence in a patient with a dural CCF, which ensued 21 days after an abortion at 12 weeks of gestation. Hirata et al 9 described a case of marked regression of a CCF 2 to 3 days after delivery, and speculated that spontaneous improvement in CCF after pregnancy was due to cavernous sinus thrombosis related to changes in blood coagulation that occur during pregnancy and delivery.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous carotid cavernous fistula complicating pregnancy

Yeung

Suen²,

Yu³

et al. 2013

Hong Kong Med J

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Section: Discussionmentioning

confidence: 99%

Spontaneous carotid cavernous fistula complicating pregnancy

Yeung

Suen²,

Yu³

et al. 2013

Hong Kong Med J

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“…4,51,66,87 Factors thought to contribute to the breaks in these vessels include arterial hypertension, atherosclerotic vascular disease, pregnancy, minor trauma, straining, diabetic vascular disease, and collagen vascular disease. 44,51,65,72,77 …”

Section: Spontaneous Ccfsmentioning

confidence: 99%

Carotid-cavernous fistulas

Ellis¹,

Goldstein²,

Connolly³

et al. 2012

FOC

276

326

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Carotid-cavernous fistulas (CCFs) are vascular shunts allowing blood to flow from the carotid artery into the cavernous sinus. The characteristic clinical features seen in patients with CCFs are the sequelae of hemodynamic dysfunction within the cavernous sinus. Once routinely treated with open surgical procedures, including carotid ligation or trapping and cavernous sinus exploration, endovascular therapy is now the treatment modality of choice in many cases. The authors provide a review of CCFs, detailing the current classification and clinical management of these lesions. Therapeutic options including conservative management, open surgery, endovascular intervention, and radiosurgical therapy are presented. The complications and treatment results as reported in the contemporary literature are also reviewed.

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“…Some isolated case series have hinted that some of these patients may undergo an angiographic pattern conversion on long-term follow-up. 3,[12][13][14][15][16][17][18][19][20][21][22] However, many of these patients had been treated palliatively and there is still controversy on whether or how often these lesions may actually show an evolutive pattern conversion without any treatment alterations. 23,24 The purpose of this study is to define the incidence, clinical, and angioarchitectural characteristics of patients with cranial DAVS showing natural temporal pattern conversions on diagnostic subtraction angiography (DSA) based on the long-term follow-up data from a large single-center database.…”

mentioning

confidence: 99%

Spontaneous Angiographic Conversion of Intracranial Dural Arteriovenous Shunt

Kim

terBrugge

Krings

et al. 2010

Stroke

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Background and Purpose-Dural arteriovenous shunt (DAVS) is a disease in which abnormal arteriovenous communications develop within the dura. Some case series have suggested DAVS may evolve over time, but the natural history is poorly understood. In this study, we aimed to define the incidence and clinical characteristics of patients with DAVS showing spontaneous angiographic pattern conversion. Methods-We assessed clinical and angiographic features of patients with angiographic conversion without any treatment from a single center database consisting of 335 DAVS cases. Spontaneous angiographic conversion was defined as complete occlusion of a pre-existing DAVS or conversion of a benign into an aggressive lesion on follow-up diagnostic subtraction angiography. Results-One hundred twelve patients were followed without treatment after the initial diagnosis of DAVS. Overall, we saw pattern conversion on angiography in 18 of the 112 cases (16.1%). Fourteen patients showed spontaneous occlusion of the shunt (12.5%); the most common locations of spontaneous obliteration were the transverse and cavernous sinuses. Four patients showed conversion to an aggressive lesion from benign DAVS (4.0%); all of these cases were associated with occlusion of the ipsilateral draining vein. Conclusions-DAVS is a dynamic disorder, which will show chronological progression. Spontaneous angiographic obliteration or conversion into an aggressive type may occur on follow-up of untreated DAVSs. (Stroke.

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Spontaneous carotid-cavernous fistula during pregnancy or in the postpartum stage

Cited by 56 publications

References 7 publications

Spontaneous carotid cavernous fistula complicating pregnancy

Spontaneous carotid cavernous fistula complicating pregnancy

Carotid-cavernous fistulas

Spontaneous Angiographic Conversion of Intracranial Dural Arteriovenous Shunt

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