Angle Closure in Carotid-Cavernous Fistula

Ophthalmology ◽  
1979 ◽  
Vol 86 (8) ◽  
pp. 1521-1529 ◽  
Author(s):  
Gerald J. Harris ◽  
Paul R. Rice
Keyword(s):  
Angle Closure ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

Angle Closure Glaucoma After Angiography of Carotid-Cavernous Fistula—A Case Report

2010 ◽  
Vol 19 (1) ◽  
pp. 73-74
Author(s):  
Julia C. Talajic ◽  
Alfred Assalian ◽  
Daniel Roy ◽  
Paul J. Harasymowycz
Keyword(s):  
Case Report ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Spontaneous Closure of a Carotid-cavernous Fistula after Contrast-enhanced Orbit Computed Tomography

2021 ◽  
Vol 62 (10) ◽  
pp. 1455-1458
Author(s):  
Byung Jin Kim ◽  
Hye Yeon Park ◽  
Hye Young Shin
Keyword(s):  
Computed Tomography ◽  
Intraocular Pressure ◽  
Imaging Modality ◽  
Spontaneous Closure ◽  
Angle Closure ◽  
Conjunctival Injection ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula ◽  
Contrast Enhanced ◽  
Vessel Dilatation

Purpose: We report a case of spontaneous closure of a carotid-cavernous fistula (CCF) after contrast-enhanced orbit computed tomography (CT).Case summary: A 80-year-old female was referred to our clinic under suspicion of chronic angle- closure glaucoma because of persistently high intraocular pressure commencing one month prior. Slit-lamp examination revealed a conjunctival injection and corkscrew-like vessel dilatation in the left eye, and a high intraocular pressure. Dilated fundus examination revealed central retinal vein occlusion in that eye. Contrast-enhanced orbit CT revealed a dilated, superior ophthalmic vein in the left orbit, and she was transferred to our department of neurosurgery for digital subtraction angiography (DSA); this is the gold standard imaging modality for the diagnosis of direct and indirect CCFs. DSA was performed two weeks after orbit CT; however, no CCF was visible. Thereafter, the conjunctival injection and the elevated intraocular pressure improved gradually over eight months. We suspect that the CCF closed spontaneously.Conclusions: Our case highlights the fact that a CCF can close spontaneously after contrast-enhanced orbit CT; ophthalmologists may wish to bear this in mind.

Diagnosis of carotid-cavernous fistula in ophthalmic practice (clinical case)

2019 ◽  
pp. 116-118
Author(s):  
I.N. Pakhirko ◽  
◽  
M.N. Ponomareva ◽  
E.Y. Ponomareva ◽  
I.A. Aymurzina ◽  
...  
Keyword(s):  
Clinical Case ◽  
Carotid Cavernous Fistula ◽  
Cavernous Fistula

scholarly journals Endoscopic Endonasal Orbital Apex Decompression for Carotid Cavernous Fistula

2021 ◽  
pp. 014556132110303
Author(s):  
Noah Shaikh ◽  
Anthony Leonard ◽  
Caitlyn Patton ◽  
SoHyun Boo ◽  
John Nguyen ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Standard Of Care ◽  
Endoscopic Endonasal Approach ◽  
Orbital Apex ◽  
Abducens Palsy ◽  
Carotid Cavernous Fistula ◽  
Endoscopic Endonasal ◽  
Cavernous Fistula ◽  
Novel Approach ◽  
Gaze Palsy

Significance Statement This case report demonstrates a novel approach to treating a rare indirect carotid cavernous fistula (CCF) and associated abducens palsy. Although endovascular treatment is the standard of care in the management of CCFs, it was contraindicated in this patient. Instead, she underwent an endoscopic endonasal approach (EEA) with decompression of the medial orbital apex, including the cavernous sinus and optic nerve, with complete resolution of headache, lateral gaze palsy, and diplopia within 2 months.

Electrothrombosis of carotid-cavernous fistula

1975 ◽  
Vol 42 (1) ◽  
pp. 76-85 ◽  
Author(s):  
Yoshio Hosobuchi
Keyword(s):  
Posterior Segment ◽  
Cerebral Vein ◽  
Superior Ophthalmic Vein ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Arterial Circulation ◽  
Inferior Portion ◽  
Pterygoid Plexus ◽  
Fine Print

✓ The author describes a technique for directly closing a carotid cavernous fistula with electrothrombosis while preserving the intracranial arterial circulation. Copper wires are introduced through the superior ophthalmic vein or a frontotemporal craniotomy, and thus directly into the portion of the sinus into which the fistula drains; if posterior, into the posterior segment of Parkinson's triangle, if inferior, into the pterygoid plexus, and if anterior, through the sphenoparietal sinus and/or middle cerebral vein to the anterior-inferior portion of the sinus. A direct current is applied until a thrombus is confirmed angiographically and the wires are left in place. Four patients treated by this method are presented.

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