Carotid cavernous fistula combined with cerebrospinal fluid leakage in patients with comminutedskull base fracture:treatment strategy
HUI Lusheng
CAI Yongwu
FAN Xianyi
BAO Qinghua
HE Wei
ZHAO Yongping
Abstract：Objective The treatment strategies for carotid cavernous fistula ( CCF ) combined with cerebrospinal fluid leakage in patients with comminuted skull base fracture are investigated.Methods Comprehensive treatments including endovascular surgery, continuous negative pressure lumbar subarachnoid drainage and skull reconstructive surgery were performed in 9 patients.Results Eight patients were cured and 1 patient died of heart and lung failure.The length of hospitalization was 53 d in average.Conclusion Vascular injuries should be treated firstly because they are always urgent and can affect the treatments of other problems;cerebrospinal fluid fistulae should be treated as soon as the urgent risks have been settled and continuous negative pressure lumbar subarachnoid drainage is a safe and effective method.Secondary injury caused by late skull reconstructive operations can be handled more easily with lower risk.
Keywords：Comminuted skull base fractureCarotid cavernous fistulaCerebrospinal fluid leakageTherapy
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 247-250 )