Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

Joint Authors

Freund, Martin
Kral, F.
Giotakis, A.
Riechelmann, Herbert

Source

Case Reports in Otolaryngology

Issue

Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2015-12-29

Country of Publication

Egypt

No. of Pages

4

Main Subjects

Diseases

Abstract EN

We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula.

Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis.

We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis.

We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus.

The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA).

DSA with coils is also the state-of-the-art therapy.

By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives.

SRS may also be used as enhancement procedure of the DSA.

Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients.

Close follow-up is advised.

American Psychological Association (APA)

Giotakis, A.& Kral, F.& Riechelmann, Herbert& Freund, Martin. 2015. Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature. Case Reports in Otolaryngology،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059651

Modern Language Association (MLA)

Giotakis, A.…[et al.]. Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature. Case Reports in Otolaryngology No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059651

American Medical Association (AMA)

Giotakis, A.& Kral, F.& Riechelmann, Herbert& Freund, Martin. Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature. Case Reports in Otolaryngology. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059651

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1059651