Using transcranial Doppler sonography (TCD) and angiography, we studied the hemodynamics of basal cerebral arteries of one patient with a carotid-cavernous sinus fistula (CCF) after internal carotid artery (ICA) embolization. The patient suffered traumatic left CCF and was treated with complete ICA embolization.
The results of TCD using commom carotid artery compression in measuring the blood flow velocity of vertebral, ophthalmic and middle cerebral arteries were mostly in accordance with those of the angiography.
However, comparing TCD with angiography, TCD is noninvasive and involves only a simple physiologi-cal examination, so by using TCD we can accurately diagnose and follow up cases such as this patient, easily and frequently.
