Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review

Challenging Management of an Acute Traumatic Carotid-Cavernous Fistula in a 2-Year-Old Child with Literature Review

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Traumatic carotid-cavernous fistula (TCCF) is a rare occurrence in the pediatric population.However, the neurological sequelae of TCCF are associated with higher morbidity and mortality in pediatric patients.We report the Sabers case of a 2-year-old child with TCCF treated at a public hospital in Peru.The etiology of the injury was due to a fall of approximately 5 meters.

The diagnosis was made based on the clinical picture and neuroimaging findings.The initial proposed treatment was performed with the hope of preserving the parent artery; however, due to persistence of the TCCF, embolization of the parent artery with coils and embolizing substance was performed.A literature review of similar cases was performed and identified eight cases in children under 10 years 24" Swivel Barstool of age.Endovascular management of an acute TCCF is a challenge due to the high morbidity and mortality during the acute phase and can be complicated when other traumatic injuries are present.

Maintaining the parent artery is important; however, when this is not possible, trapping the parent artery may provide an alternate option when appropriate collaterals exist.