Caroticocavernous fistula (direct)
This patient was involved in an MVA a month previously, and subsequently developed chemosis and a objective tinitus.
Loading Stack -
0 images remaining
Angiogram confirmed the presence of a direct caroticocavernous fistula.
Note the brisk shunting, dilated veins (especially the superior ophthalmic vein) and reflux into cortical veins. (a poor prognostic factor).