Caroticocavernous fistula

Case contributed by Dr Ayaz Hidayatov

Presentation

A male presented with headache and progressive proptosis on the left eye. There is a history of trauma a few years ago.

Patient Data

Age: 45 years
Gender: Male
MRI

MR reveals multiple tortuous and dilated vascular structures in the left cavernous sinus and asymmetrical dilatation of the left superior ophthalmic vein. Findings are suggestive of caroticocavernous fistula. 

There is also post-traumatic encephalomalacia at the left frontal and temporal lobes.

Case Discussion

Caroticocavernous fistulas are usually secondary to cranial trauma. In most cases, patients presenting with ipsilateral ocular pain increased intraocular pressure and proptosis. 

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Case information

rID: 67970
Published: 4th May 2019
Last edited: 12th May 2019
Inclusion in quiz mode: Included
Institution: Medistyle hospital

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