{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T19:46:27Z","timestamp":1711136787126},"reference-count":8,"publisher":"Walter de Gruyter GmbH","issue":"4","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,12,20]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe the case of an 83-year-old woman with left-sided ophthalmoplegia. She had no family history of connective tissue disease. The computed tomography study found a dilated left cavernous sinus. The conventional cerebral panangiography confirmed the diagnosis - a direct carotid-cavernous fistula (CCF), with no evidence of ruptured aneurysm. The woman underwent endovascular treatment with coiling of the cavernous sinus in combination with application of the Onyx embolic agent in the fistula. During the first 48 hours after the embolization the local pain, exophthalmos and conjunctival injection of the left eye were significantly ameliorated. The pulsatile tinnitus on the left disappeared and the ptosis of the left eyelid partially recovered. Selective angiography is the best method for the diagnosis and classification of CCF. Currently, treatment is possible with low mortality and morbidity rates. The endovascular intervention is able to completely occlude the fistula and maintain adequate blood fl ow through the carotid artery.<\/jats:p>","DOI":"10.1515\/folmed-2017-0059","type":"journal-article","created":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T22:16:36Z","timestamp":1516227396000},"page":"472-476","source":"Crossref","is-referenced-by-count":1,"title":["Spontaneous Direct Carotid-Cavernous Fistula in an Elderly Patient"],"prefix":"10.1515","volume":"59","author":[{"given":"Stanimir S.","family":"Sirakov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borislav D.","family":"Kitov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristina S.","family":"Sirakova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivo I.","family":"Kehayov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","reference":[{"key":"ref51","first-page":"293","article-title":"NM Operative approach via the superior ophthalmic vein for the endovascular treatment of carotid cavernous fistulas that fail traditional endovascular access Operative","author":"Wolfe","year":"2010","journal-title":"Neurosurgery"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"248","DOI":"10.3171\/jns.1985.62.2.0248","article-title":"IF Classification and treatment of spontaneous carotid - cavernous sinus fistulas","author":"Barrow","year":"1985","journal-title":"J Neurosurg"},{"key":"ref21","first-page":"185","article-title":"Beute Ruptured cavernous sinus aneurysms causing carotid cavernous fistula incidence clinical presentation treatment and outcome","volume":"27","author":"van Rooij","year":"2006","journal-title":"Am J Neuroradiol"},{"key":"ref61","first-page":"108","article-title":"Cerebellar hemorrhage and subsequent venous infarction followed by incomplete transvenous embolization of dural carotid cavernous fistulas : a rare complication : case report","volume":"7","author":"Lee","year":"2008","journal-title":"J Neurosurg"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.nec.2004.08.004","article-title":"cavernous fistulas anatomy classification treatment","volume":"16","author":"Ringer","year":"2005","journal-title":"Neurosurg Clin Am"},{"key":"ref31","first-page":"75","article-title":"EM Spontaneous direct carotid - cavernous fistula in Danlos syndrome type IV : two case reports and a review of the literature","volume":"22","author":"Chuman","year":"2002"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/2012.2.FOCUS1223","article-title":"cavernous fistulas","volume":"32","author":"Ellis","year":"2012","journal-title":"Neurosurg Focus"},{"key":"ref71","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s00234-006-0132-x","article-title":"treatment of direct carotid cavernous fistulae a pictorial","volume":"8","author":"Gupta","year":"2006","journal-title":"review Neuroradiology"}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"http:\/\/content.sciendo.com\/view\/journals\/folmed\/59\/4\/article-p472.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.degruyter.com\/view\/j\/folmed.2017.59.issue-4\/folmed-2017-0059\/folmed-2017-0059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T09:06:40Z","timestamp":1603271200000},"score":1,"resource":{"primary":{"URL":"http:\/\/archive.sciendo.com\/FOLMED\/folmed.2017.59.issue-4\/folmed-2017-0059\/folmed-2017-0059.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,20]]},"references-count":8,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.1515\/folmed-2017-0059","relation":{},"ISSN":["1314-2143"],"issn-type":[{"value":"1314-2143","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,20]]}}}