Abstract
This study assessed the ability to diagnose carotid-cavernous fistulas (CCFs) non-invasively using magnetic resonance angiogrphy (MRA). Both three-dimensional time-of-flight (3-D TOF) MRA and three-dimensional phase-contrast (3-D PC) MRA were compared with conventional cerebral angiography in nine patients with CCFs. CCFs were grouped according to Barrow's classification. In all cases, 3-D TOF MRA revealed an inferior petrosal sinus as a draining vein. 3-D PC MRA demonstrated a dilated and tortuous superior ophthalmic vein (SOV) and reflux of the SOV in seven patients. In conclusion, CCFs can be diagnosed with MRA alone by demonstrating the drainging veins.
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Ikawa, F., Uozumi, T., Kiya, K. et al. Diagnosis of carotid-cavernous fistulas with magnetic resonance angiography—demonstrating the draining veins utilizing 3-D time-of-flight and 3-D phase-contrast techniques. Neurosurg. Rev. 19, 7–12 (1996). https://doi.org/10.1007/BF00346602
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DOI: https://doi.org/10.1007/BF00346602