{
    "abstract": "A 37-year-old man with a history of head trauma surgery 8 years previously was admitted because of persistent pulsatile exophthalmos and intracranial murmur. Angiography results showed that blood from the right internal carotid artery flowed directly into the cavernous sinus , with the arterial system above the cavernous sinus not visualized; early visualization of the right venous sinus system; dilation of the right superior ophthalmic vein and the medial canthal vein. Bilateral anterior and middle cerebral arteries were perfused through the left internal carotid artery. We diagnosed a right-sided carotid-cavernous fistula. After a comprehensive preoperative assessment, we chose spring coil embolization treatment, which resulted in the disappearance of symptoms after treatment. Three months later, on follow-up, the patient reported no longer hearing intracranial murmur, and auscultation of the right temporal region showed no abnormal sounds.",
    "authors": [
        {
            "affiliation": "Department of Neurosurgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.",
            "firstname": "Jincai",
            "initials": "J",
            "lastname": "Fang"
        },
        {
            "affiliation": "Department of Neurosurgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.",
            "firstname": "Genghuan",
            "initials": "G",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Neurosurgery, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China. Electronic address: jxsyn888@126.com.",
            "firstname": "Yunnong",
            "initials": "Y",
            "lastname": "Song"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024 The Authors. Published by Elsevier Inc. All rights reserved.",
    "doi": "10.1016/j.wneu.2024.10.085",
    "journal": "World neurosurgery",
    "keywords": [
        "Carotid-cavernous fistula",
        "Complete shunt",
        "Digital subtraction angiography",
        "Exophthalmos",
        "Giant",
        "Intracranial murmur"
    ],
    "methods": null,
    "publication_date": "2024-11-13",
    "pubmed_id": "39510173",
    "results": null,
    "title": "Giant Carotid-Cavernous Fistula with Complete Shunt.",
    "xml": "<Element 'PubmedArticle' at 0x788504885490>"
}