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In this study, we aimed to present a rare case of pulsatile proptosis due to sphenoid wing dysplasia without the features of neurofibromatosis type 1 (NF1). A 17-year-old male patient presented with swelling in the superotemporal region of the right eye. Physical examination revealed facial asymmetry with a pulsatile, ill-defined, soft lesion with in the superotemporal region of the right orbit associated with pulsatile proptosis, downward dystopia, and hypotropia.

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Article Synopsis
  • * A case of an 84-year-old woman is presented, who exhibited isolated abducens nerve palsy due to a high-flow CCF but did not show the usual symptoms associated with CCF.
  • * This case highlights the importance for doctors to consider CCF as a possible diagnosis in older patients with isolated abducens nerve palsy, even if the classic symptoms are absent.
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Carotid- Cavernous Fistula (CCF) represents an aberrant vascular communication at the skull base between the high-flow carotid arterial system and the low-flow venous channels within the cavernous sinuses of the sphenoid bone. Benjamin Travers, in the year 1809, described this condition as "pulsating exophthalmos". This case is a presentation of a carotid cavernous fistula in an operated case of maxillofacial injury as a late complication.

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Pulsating Exophthalmos due to Intraorbital Meningoencephalocele.

Am J Ophthalmol

September 2022

From the Department of Ophthalmology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College; and Key Laboratory of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China. Electronic address:

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