Unilateral Direct Carotid Cavernous Fistula Causing Bilateral Ocular Manifestation

Autor: Gelson Luis Koppe, Fernando Liebert, Zeferino Demartini, Luana Antunes Maranha Gatto, Carlos Eduardo Dall'Aglio Rocha, Thiago Simiano Jung, Alex Marques Borges Santos
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Ophthalmology, Vol 6, Iss 3, Pp 482-487 (2015)
Case Reports in Ophthalmology
ISSN: 1663-2699
Popis: Unilateral carotid cavernous fistula presents with ipsilateral ocular findings. Bilateral presentation is only seen in bilateral fistulas, usually associated with indirect (dural) carotid cavernous fistulas. Direct carotid cavernous fistulas are an abnormal communication between the internal carotid artery and the cavernous sinus. They typically begin with a traumatic disruption in the artery wall into the cavernous sinus, presenting with a classic triad of unilateral pulsatile exophthalmos, cranial bruit and episcleral venous engorgement. We report the case of a 38-year-old male with traumatic right carotid cavernous sinus fistula and bilateral ocular presentation successfully treated by interventional neuroradiology.
Databáze: OpenAIRE