Carotid-cavernous fistula: A case report
Keywords:Carotid artery, Fistula, Angiography
Carotid-cavernous fistula is an abnormal arteriovenous communication between the carotid arteries and the cavernous sinus. Imaging studies are the most important step of diagnosis. We herein report a 50-year-old woman with a carotid cavernous fistula, who presented with double vision, right ptosis and ipsilateral pain. All imaging studies were normal except digital subtraction angiography, which revealed a carotid cavernous fistula arising from the meningohypophyseal trunk of right internal carotid artery, internal maxillary artery and middle meningeal artery. The patient underwent endovascular coiling of the fistula. She had an excellent recovery after intervention. In rare situations, carotid cavernous fistula can not be revealed by computerized brain tomography or magnetic resonance imaging. If there is a strong suspicion of carotid cavernous fistula, digital subtraction angiography must be obtained for diagnosis and treatment.
Ellis JA, Goldstein H, Connolly ES, Jr. Meyers PM. Carotid-cavernous fistulas. Neurosurg Focus. 2012;32(5):E9.
Kohli GS, Patel BC. Carotid Cavernous Fistula, in StatPearls. 2020: Treasure Island (FL).
Gonzalez Castro LN, Colorado RA, Botelho AA, Freitag SK, Rabinov JD, Silverman SB. Carotid-Cavernous Fistula: A Rare but Treatable Cause of Rapidly Progressive Vision Loss. Stroke. 2016;47(8):e207-9.
Henderson AD, Miller NR. Carotid-cavernous fistula: current concepts in aetiology, investigation, and management. Eye (Lond). 2018;32(2):164-72.
Alam MS, Jain M, Mukherjee B, Sharma T, Halbe S, Jaisankar D, et al. Visual impairment in high flow and low flow carotid cavernous fistula. Sci Rep. 2019;9(1):12872.
Rucker JC, Biousse V, Newman NJ. Magnetic resonance angiography source images in carotid cavernous fistulas. Br J Ophthalmol. 2004;88(2):311.
Zanaty M, Chalouhi N, Tjoumakaris SI, Hasan D, Rosenwasser RH, Jabbour P. Endovascular treatment of carotid-cavernous fistulas. Neurosurg Clin N Am. 2014;25(3):551-63.
Yoshida K, Melake M, Oishi H, Yamamoto M, Arai H. Transvenous embolization of dural carotid cavernous fistulas: a series of 44 consecutive patients. AJNR Am J Neuroradiol. 2010;31(4):651-5.
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