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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Nakagawa, Shunsuke Tateyama, Kojiro Murai, Yasuo Wada, Takeshi |
| Description | Author Affiliation: Nakagawa S ( Department of Neurosurgery, Nippon Medical School, Tokyo, Japan.); Murai Y ( Department of Neurosurgery, Nippon Medical School, Tokyo, Japan.); Wada T ( Department of Neurosurgery, Nippon Medical School, Tokyo, Japan.); Tateyama K ( Department of Neurosurgery, Nippon Medical School, Tokyo, Japan.) |
| Abstract | Inadequate information is available about the cerebral blood flow and surgical strategies of a direct aneurysmal carotid cavernous fistula (daCCF). We report a quantitative analysis of flow velocity and volume using preoperative time-resolved phase-contrast MRI (four-dimensional (4D) flow MRI) in a daCCF. This is the first report of 4D flow findings with a daCCF. A 55-year-old woman developed a sudden headache and bruit of the right orbit, and MRI suggested the presence of a daCCF. Quantitative analysis using preoperative 4D flow MRI revealed the flow volume of the right internal carotid artery. The daCCF was successfully treated by high-flow bypass using a radial artery graft and internal carotid artery trapping. Postoperative angiography showed a complete obliteration of the daCCF. Studies to collect data from additional cases are required so that 4D flow findings can be further used in the management of daCCFs. |
| Volume Number | 2015 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Aneurysm, Ruptured Complications Brain Blood Supply Carotid Artery, Internal Pathology Carotid-Cavernous Sinus Fistula Diagnosis Cerebrovascular Circulation Intracranial Aneurysm Magnetic Resonance Angiography Methods Etiology Physiopathology Therapy Cavernous Sinus Cerebral Angiography Embolization, Therapeutic Female Fistula Humans Middle Aged Radial Artery Vascular Grafting Case Reports Journal Article Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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