Caroticocavernous fistula

Case contributed by Vitalii Rogalskyi
Diagnosis certain

Presentation

Throbbing feeling in right eyeball after beating for several months.

Patient Data

Age: 60 years
Gender: Female

CT angiography

ct

Dilatation of right superior ophthalmic vein and engorgement of the right cavernous sinus. The appearance is consistent with caroticocavernous fistula. 

Annotated images

Annotated image

Dilatated right superior ophthalmic vein which extends from enlarged cavernous sinus.

Case Discussion

Caroticocavernous fistula represents abnormal communication between the carotid circulation and the cavernous sinus.

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