Dural carotid cavernous fistula following hypertensive emergency
| Autor: | Gavin Docherty, Geoffrey Law |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Eye Diseases genetic structures Fistula Eye Cerebral angiogram 03 medical and health sciences Carotid-Cavernous Sinus Fistula 0302 clinical medicine Dural carotid cavernous fistula Rare Disease medicine Humans Hypertensive emergency Coil embolization medicine.diagnostic_test business.industry General Medicine Eye Redness Middle Aged medicine.disease Embolization Therapeutic Surgery Hypertension Angiography 030221 ophthalmology & optometry Female Tomography X-Ray Computed business Superior ophthalmic vein 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2019-230823 |
| Popis: | A 58-year-old woman was referred to the outpatient ophthalmology clinic with progressive bilateral eye redness and vision loss. She had presented 2 weeks earlier with an episode of hypertensive emergency. CT angiography revealed bilateral superior ophthalmic vein (SOV) dilation, prompting further workup with a cerebral angiogram. Subsequent imaging revealed an indirect (type D) carotid-cavernous fistula (CCF) with venous drainage into both SOVs and cavernous sinuses. Successful treatment of the CCF with coil embolisation required interdisciplinary teamwork between ophthalmologists and interventional neuroradiologists. The patient made a substantial visual recovery following treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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