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Evisceration and ocular prosthetic implantation following endovascular coiling for the management of endophthalmitis in a long-standing post-traumatic unilateral carotid-cavernous fistula: A case report and review of the literature.
Oman J Ophthalmol
October 2024
Department of Ophthalmology, Minto Ophthalmic Hospital, Regional Institute of Ophthalmology, Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India.
Carotid-cavernous fistula (CCF) is a rare condition involving an abnormal communication between the carotid artery and the cavernous sinus. We present a unique case of posttraumatic unilateral CCF initially misdiagnosed as a corneal melt with iris prolapse and orbital cellulitis. The patient, a 25-year-old male, experienced swelling, bleeding, and sudden vision loss in the affected eye following a fall.
View Article and Find Full Text PDFBilateral Carotid-Cavernous Fistula Following Traumatic Fall: A Case Report.
J Belg Soc Radiol
September 2024
Interventional Neuroradiologist, Erasmus Hospital, Brussels, Belgium.
Carotid-cavernous fistulas (CCFs) are abnormal connections between the carotid arteries and the cavernous sinus, posing significant neuro-ophthalmologic risks. This report presents a rare case of bilateral post-traumatic CCFs, focusing on clinical presentation, diagnosis, and management. Symptoms mimic conjunctivitis, causing diplopia, exophthalmos, and ophthalmoplegia.
View Article and Find Full Text PDFSpontaneous thrombosis of post-traumatic direct carotid-cavernous fistula.
Radiol Case Rep
September 2024
Department of Neurology, Neurology, Airlangga University Faculty of Medicine, Dr. Soetomo General Hospital, Mayjend Prof. Dr. Moestopo No. 6-8, Surabaya 60264, Surabaya-Indonesia.
Article Synopsis
- Carotid cavernous fistula (CCF) is an abnormal connection between the carotid artery and cavernous sinus, often resulting from trauma, and usually requires endovascular embolization due to the low likelihood of spontaneous resolution.
- The case discussed involves a 42-year-old man who suffered head trauma, experienced seizures, and presented with visual symptoms, leading to the identification of a Barrow type A CCF.
- Remarkably, after a year, a follow-up angiography showed that the CCF resolved spontaneously, suggesting that thrombosis in the cavernous sinus might facilitate this rare outcome.
Neglected Superior Ophthalmic Vein Enlargement before Delayed Symptom of Carotid-Cavernous Fistula in a Blowout Fracture: A Case Report and Literature Review.
Arch Plast Surg
July 2024
Department of Plastic and Reconstructive Surgery, Seoul National University Boramae Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea.
Carotid-cavernous fistula (CCF) is a rare condition. However, it should be suspected when there are traumatic facial fractures, because if not diagnosed, it can lead to permanent damage such as blindness. Traumatic CCF often presents delayed symptoms, and delayed diagnosis without prompt treatment can lead to permanent injuries in optic and cranial nerves III, IV, V, and VI as well as intracranial hemorrhage.
View Article and Find Full Text PDFPost-traumatic carotid-cavernous fistula.
Neurol Sci
March 2024
Neuroradiology Unit, Diagnostic Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy.
A 28-year-old woman who suffered a head injury 2 months before presented with a history of progressive right eye proptosis, ophthalmoplegia, and conjunctival injection. The radiological workup with a magnetic resonance imaging of the brain and cerebral angiography revealed a direct, high-flow, right post-traumatic carotid-cavernous fistula. An endovascular procedure was performed, and the carotid-cavernous fistula was successfully occluded with a progressive resolution of the complained symptoms.
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