Journal Information
Vol. 15. Issue 4.
Pages 388-390 (January 2004)
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Vol. 15. Issue 4.
Pages 388-390 (January 2004)
Diagnóstico por dúplex transcraneal color de una fístula carótido-cavernosa traumática
Postraumatic carotid-cavernous fistula diagnosed by transcranial color-coded duplex sonography
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M. Casares-Vivas
, J. Pérez-Báecena, J.M. Abadal-Centellas, J. Homar-Ramírez
Servicio de Medicina Intensiva. Hospital Universitario Son Dureta. Palma de Mallorca
S. Miralvés-Celma*
* Servicio de Radiodiagnóstico. Hospital Universitario Son Dureta. Palma de Mallorca
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Resumen

El “dúplex transcraneal color” (DTCC) es una técnica de imagen no invasiva que está demostrando ser útil tanto en el diagnóstico como en el seguimiento de ciertas patologías de localización intracraneal.

Presentamos el caso de un paciente que sufrió un traumatismo craneofacial grave al que se realizó un DTCC en los primeros días del ingreso que evidenció un flujo anómalo compatible con fístula carótido-cavernosa (FCC) confirmada posteriormente por angio-RNM

Palaprs clave:
Fístula carótido-cavemosa
Dúplex transcraneal color
Traumatismo craneoencefálico
Abreviaturas:
ACI
ACE
ACM
DTCC
FCC
GSC
IR
SC
Summary

The extracranial carotid duplex is a feasible, non invasive technique that is useful for the diagnosis of some intracraneal pathologies.

We present the case of a patient who was admitted in our unit with a severe traumatic brain injury. An early transcranial color duplex showed a mosaic color flash with unidirectional turbulent flow that was compatible with a posttraumatic carotid cávernous fistula that was confirned by angio MRI.

Key words:
Carotid cávernous fístula
Transcranial color duplex
Head injury

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