Bilateral Carotid-Cavernous Fistula: A Diagnostic and Therapeutic Challenge

被引：3

作者：

Sharma, Rohan ^{[1
]}

Ponder, Christian ^{[1
]}

Kamran, Mudassar ^{[1
]}

Chacko, Joseph ^{[1
]}

Kapoor, Nidhi ^{[1
]}

Mylavarapu, Krishna ^{[2
]}

Onteddu, Sanjeeva ^{[1
]}

Nalleballe, Krishna ^{[1
]}

机构：

[1] Univ Arkansas Med Sci, Little Rock, AR 72205 USA

[2] Baptist Hlth Med Ctr, Little Rock, AR USA

来源：

JOURNAL OF INVESTIGATIVE MEDICINE HIGH IMPACT CASE REPORTS | 2022年 / 10卷

关键词：

arteriovenous malformation; secondary headache disorders; ocular motility; carotid-cavernous fistula; endovascular transvenous coil embolization; ENDOVASCULAR MANAGEMENT; SINUS;

D O I：

10.1177/23247096221094181

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Carotid-cavernous fistula (CCF) is an aberrant communication between the main trunk or branches of carotid artery and the cavernous sinus. Most of the cases of CCF occur following head trauma, but congenital and spontaneous cases have been reported. We report an interesting case of bilateral CCF with no history of trauma, thus most likely spontaneous form. Since it is rare, it was a diagnostic challenge. The suspicion of this diagnosis was made due to clinical features of headache, signs of increased Intracranial Pressure (ICP) (nausea, vomiting, and worsening headaches during Valsalva), exophthalmos, periorbital edema, periorbital erythema, chemosis, and conjunctival injection in both eyes. It was diagnosed with a 4-vessel angiography (digital subtraction angiography) which is the gold standard and was managed successfully with endovascular coil embolization.

引用

页数：6

共 14 条

[1] Long-Term Outcomes of Endovascular Treatment of Indirect Carotid Cavernous Fistulae: Superior Efficacy, Safety, and Durability of Transvenous Coiling Over Other Techniques [J].