Post-traumatic carotid-cavernous fistula with bilateral proptosis simulating cavernous sinus thrombosis

被引：4
作者：
Kasturi, Nirupama [1 ]
Kumari, Pooja [1 ]
Nagarajan, Gayatri [1 ]
Krishnan, Nagarajan [2 ]
机构：
[1] JIPMER, Ophthalmol, Pondicherry, India
[2] JIPMER, Radiodiag, Pondicherry, India
来源：
BMJ CASE REPORTS | 2019年 / 12卷 / 03期
关键词：
eye; trauma; interventional radiology;
D O I：
10.1136/bcr-2018-227757
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. A subtle bruit was present on examination, and digital subtraction angiography revealed a right direct (type A) carotid-cavernous fistula (CCF). The patient underwent right coil embolisation of direct CCF. On follow-up at 4months, her proptosis resolved completely and extraocular movements improved.
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页数：3
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