ISSN:
1434-4726
Keywords:
Skull base trauma
;
Gunshot wounds
;
Facial paralysis
;
Carotid artery-cavernous sinus fistula
;
Cerebrospinal fluid leak
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Massive skull base injuries require detailed preoperative neurological and neurovascular assessment prior to undertaking surgical repair of isolated cranial nerve deficits. We present the management of a patient with traumatic facial paralysis, cerebrospinal fluid leak, and carotid artery cavernous sinus fistula as the result of a gunshot wound to the skull base. The carotid artery cavernous sinus fistula was ultimately controlled with superselective embolization via the vertebral artery. The facial nerve injury was then safely treated with mobilization of the labyrinthine and vertical segments to allow a primary anastomosis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00175959
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