Open Access

Traumatic carotid‑cavernous fistula with perimedullary venous drainage and delayed myelopathy: A case report

  • Authors:
    • Chun-Long Ding
    • Chun-Lei Zhang
    • Feng Hua
    • Shao-Dong Xi
    • Qin-Wei Zhou
    • Hui-Jun Wang
    • Jun-Jie Chen
    • Jie Qiu
  • View Affiliations

  • Published online on: September 17, 2021     https://doi.org/10.3892/mi.2021.16
  • Article Number: 16
  • Copyright: © Ding et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Traumatic carotid‑cavernous fistula (TCCF) with perimedullary venous drainage and delayed myelopathy is a relatively rare clinical lesion. Endovascular embolization using embolic agents is the preferred treatment for patients with a poor collateral circulation. The present study describes the case of a 45‑year‑old male with TCCF, who presented with progressive cervical myelopathy for 1 month. A previous history of the patient included an anterior skull base fracture induced by a traffic accident 2 years prior. Cervical spinal magnetic resonance imaging (MRI) revealed dilated perimedullary veins and cervical spinal cord edema. Cerebral digital subtraction angiography revealed a direct CCF with perimedullary venous drainage. The patient received endovascular treatment with coils and an Onyx liquid embolic system to occlude the fistula, and his symptoms were relieved when he was discharged 3 weeks later. The patient then felt normal and a cervical spinal MRI revealed the disappearance of the perimedullary veins dilation and spinal cord edema at the 6‑month follow‑up. To the best of our knowledge, only three cases of CCFs with perimedullary venous drainage presenting with myelopathy have been previously reported. The present study also discussed the possible pathological mechanisms for this rare presentation. Moreover, it is suggested that the possibility of CCFs as a cause of cervical myelopathy needs to be taken into consideration.

Related Articles

Journal Cover

November-December 2021
Volume 1 Issue 5

Print ISSN: 2754-3242
Online ISSN:2754-1304

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Ding C, Zhang C, Hua F, Xi S, Zhou Q, Wang H, Chen J and Qiu J: Traumatic carotid‑cavernous fistula with perimedullary venous drainage and delayed myelopathy: A case report. Med Int 1: 16, 2021
APA
Ding, C., Zhang, C., Hua, F., Xi, S., Zhou, Q., Wang, H. ... Qiu, J. (2021). Traumatic carotid‑cavernous fistula with perimedullary venous drainage and delayed myelopathy: A case report. Medicine International, 1, 16. https://doi.org/10.3892/mi.2021.16
MLA
Ding, C., Zhang, C., Hua, F., Xi, S., Zhou, Q., Wang, H., Chen, J., Qiu, J."Traumatic carotid‑cavernous fistula with perimedullary venous drainage and delayed myelopathy: A case report". Medicine International 1.5 (2021): 16.
Chicago
Ding, C., Zhang, C., Hua, F., Xi, S., Zhou, Q., Wang, H., Chen, J., Qiu, J."Traumatic carotid‑cavernous fistula with perimedullary venous drainage and delayed myelopathy: A case report". Medicine International 1, no. 5 (2021): 16. https://doi.org/10.3892/mi.2021.16