<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8748</journal-id>
<journal-title><![CDATA[Acta Neurológica Colombiana]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Neurol Colomb.]]></abbrev-journal-title>
<issn>0120-8748</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Neurología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87482017000400274</article-id>
<article-id pub-id-type="doi">10.22379/24224022167</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síntomas neurológicos de fístula carotídeo carvenosa: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Neurological symptoms of cavernous carotid fistula: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Zambrano]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rubio Rodríguez]]></surname>
<given-names><![CDATA[Wolfang]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Conde Cardona]]></surname>
<given-names><![CDATA[Giancarlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Polo Verbel]]></surname>
<given-names><![CDATA[Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilla Espinoza]]></surname>
<given-names><![CDATA[Karen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gamero Tafur]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Sánchez]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Sinú Departamento de Investigaciones de Neurología ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad del Sinú  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Corporación universitaria Rafael Núñez  ]]></institution>
<addr-line><![CDATA[Cartagena de Indias ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Universidad de la Salle  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>33</volume>
<numero>4</numero>
<fpage>274</fpage>
<lpage>278</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87482017000400274&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87482017000400274&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87482017000400274&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Las fístulas carótido-cavernosas son comunicaciones anormales entre la arteria carótida interna o externa; o alguna de sus ramas (sistema arterial) y el seno cavernoso (sistema venoso); el espectro de presentación de esta entidad es muy variable, sin embargo existe un gran número de pacientes en los cuales los síntomas neurológicos conllevan a sospecha clínica. Los síntomas pueden variar desde cefalea de intensidad variable, síntomas de origen auditivo, tinitus, hipoacusia y vértigo hasta manifestaciones que son clínicamente evidenciables y signos derivados de congestión orbitaria como proptosis, quemosis, soplos orbitarios y pérdida de la visión, causas que motivan un diagnóstico y tratamiento oportuno. Se realiza reporte de un caso de un paciente de 60 años de edad que acude al servicio hospitalario de la Fundación Centro Colombiano y Enfermedades Neurológicas FIRE, con cefalea de 2 meses de evolución, consulta por diplopía binocular, dolor ocular bilateral, inyección conjuntival, secreción purulenta, epifora bilateral, vértigo con miositis orbitaria aguda, fístula carótido-cavernosa en ojo derecho y parálisis del sexto par craneal izquierdo. La panangiografía cerebral reporta fístula carótida-cavernosa indirecta tipo B de Barrow por aferencias del tronco meningohipofisiario derecho e izquierdo por lo que es llevado a terapia endovascular con obliteración exitosa de la fístula.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY Carotid-cavernous fistulas are abnormal communications between the internal or external carotid artery or one of its branches (arterial system) and the cavernous sinus (venous system). The spectrum of presentation of this entity is very variable. However, patients may consult for headache and symptoms derived from orbital congestion such as proptosis, chemosis, orbital murmurs and loss of vision. They require timely diagnosis and treatment. We present the case of a 60 year old patient with a history of acute orbital myositis, carotid-cavernous fistula in the right eye, paralysis of the sixth left cranial nerve and a 2 month old headache who consults for binocular diplopia, bilateral ocular pain, conjunctival injection, purulent secretion outflow, bilateral epiphora, sensation of hallucination of movement with gait and photophobia. Cerebral panangiography reports remnant of Barrow's b-type indirect carotid-cavernous fistula by right and left meningohypophysis trunks. The pacient taken to endovascular therapy with successful fistula obliteration.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[fístula carótido-cavernosa]]></kwd>
<kwd lng="es"><![CDATA[seno cavernoso]]></kwd>
<kwd lng="es"><![CDATA[tratamiento endovascular (DeCS)]]></kwd>
<kwd lng="en"><![CDATA[Carotid-cavernous fistula]]></kwd>
<kwd lng="en"><![CDATA[cavernous sinus]]></kwd>
<kwd lng="en"><![CDATA[endovascular treatment (MeSH)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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