Post-traumatic carotid cavernous fistula of late manifestation report

Joanna Roskal-Wałek; Michał Biskup

doi:10.5114/ms.2014.47926

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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4/2014
vol. 30

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abstract:

Case report

Post-traumatic carotid cavernous fistula of late manifestation report

Joanna Roskal-Wałek

,

Michał Biskup

Studia Medyczne 2014; 30 (4): 265–270

DOI: https://doi.org/10.5114/ms.2014.47926

Online publish date: 2015/01/11

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Carotid cavernous fistula (CCF) is an abnormal connection between the carotid artery and the cavernous sinus. Carotid cavernous fistula of traumatic aetiology occurs more commonly. The characteristic triad of symptoms covers the following: pulsating exophthalmos, a humming sound within the skull, and dilation and tortuosity of conjunctival and episcleral veins. The diagnosis of CCF may constitute a diagnostic problem in the situation when the symptoms occur several weeks after injury, it may overlap with other post-traumatic changes, and the dominant symptom may be cranial nerve palsy. The lack of a correct diagnosis and adequate causative therapy creates the risk of not only loss of vision, but also of life. We present a case of a patient who developed fistula symptoms a few weeks after an injury. The diagnosis of post-traumatic CCF was confirmed by imaging examinations. The application of transluminal embolisation led to the resolution of the majority of symptoms.

keywords:

Post-traumatic carotid cavernous fistula of late manifestation report

Joanna Roskal-Wałek , Michał Biskup

carotid-cavernous sinus fistula, exophthalmos, head injuries closed

Joanna Roskal-Wałek

,

Michał Biskup