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학술저널
저자정보
Cho, Kwang-Chun (Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine) Seo, Dae-Hee (Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine) Choe, Il-Seung (Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine) Park, Sung-Choon (Department of Neurosurgery, Myongji Hospital, Kwandong University College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제2호
발행연도
2011.1
수록면
126 - 129 (4page)

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Bilateral traumatic carotid-cavernous fistulae (TCCFs) is rarely encountered neurovascular disease. For treatment of TCCF, detachable balloons have been widely used. Nowadays, transarterial and/or transvenous coil embolization with placement of covered stents is adopted as another treatment method. We experienced a patient with a bilateral TCCFs who was successfully treated with covered stents. However, cerebral hemorrhage occurred in the bed of previous infarction one day after treatment. Hyperperfusion syndrome was considered as a possible cause of the hemorrhage, so that barbiturate coma therapy was started and progression of hemorrhage was stopped. We emphasize that cerebral hyperperfusion hemorrhage can occur even after successful endovascular treatment of TCCF.

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