Caroticocavernous fistula (direct)

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

History of head trauma two months ago. The left-side pulsatile exophthalmos.

Patient Data

Age: 55 years
Gender: Male

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.

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