TY  - JOUR
PY  - 2010//
TI  - Delayed detection of carotid-cavernous fistulas associated with wartime blast-induced craniofacial trauma
JO  - Neurosurgical focus
A1  - Vadivelu, Sudhakar
A1  - Bell, Randy S.
A1  - Crandall, Benjamin
A1  - DeGraba, Tom
A1  - Armonda, Rocco A.
SP  - E6
EP  - E6
VL  - 28
IS  - 5
N2  - Blast-induced neurotrauma is a leading cause of military casualties. Its effects on cerebrovascular structures are not well understood. Vascular injury resulting from overpressure shock wave impact may have a delayed presentation and detection. The authors present the cases of 2 patients who sustained blast-induced craniofacial trauma and brain injury. Detection of a cervical dissection was delayed in one patient, and detection of carotid-cavernous fistulas was delayed in both patients. The authors report the successful obliteration of both the dissection and the carotidcavernous fistulas via an endovascular approach. Endovascular management provides both a reasonable and effective therapeutic option to blast-induced cerebrovascular injuries.<p />  <p>Language: en</p>
LA  - en
SN  - 1092-0684
UR  - http://dx.doi.org/10.3171/2010.2.FOCUS09257
ID  - ref1
ER  -