Presentation
History of head trauma two months ago. The left-side pulsatile exophthalmos.
Patient Data
Age: 55 years
Gender: Male
From the case:
Caroticocavernous fistula (direct)
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Dilated left superior ophthalmic vein and dilated cavernous sinus with flow void visible in Time of Flight MRA images.
There is high-flow communication between the intracavernous portion of the left internal carotid artery and the cavernous sinus, establishing the diagnosis of a direct caroticocavernous fistula.
Case Discussion
Trauma is a known cause of caroticocavernous fistula.