Rare Presentation of Bilateral Carotid Cavernous Fistula as Suprachoroidal Hemorrhage during Cataract Surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Nurhafis Zainol ◽  
Puspha Raman ◽  
Premala Devi-S ◽  
Khairul Husnaini Mohd Khalid
2013 ◽  
Vol 1 (1) ◽  
pp. e17-e18 ◽  
Author(s):  
Mohammad Dowlut ◽  
Mike Quinlan ◽  
John S. Barry

Medicine ◽  
2017 ◽  
Vol 96 (19) ◽  
pp. e6869 ◽  
Author(s):  
Lan Ke ◽  
Yan-ning Yang ◽  
Jing Yuan

2014 ◽  
Vol 121 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Isabelle Ract ◽  
Aurélie Drier ◽  
Delphine Leclercq ◽  
Nader Sourour ◽  
Joseph Gabrieli ◽  
...  

The authors report a very rare presentation of traumatic carotid-cavernous fistula (CCF) with extensive edema of the basal ganglia and brainstem because of an anatomical variation of the basal vein of Rosenthal (BVR). A 45-year-old woman was admitted to the authors' institution for left hemiparesis, dysarthria, and a comatose state caused by right orbital trauma from a thin metal rod. Brain MRI showed a right CCF and vasogenic edema of the right side of the brainstem, right temporal lobe, and basal ganglia. Digital subtraction angiography confirmed a high-flow direct CCF and revealed a hypoplastic second segment of the BVR responsible for the hypertension in inferior striate veins and venous congestion. Endovascular treatment was performed on an emergency basis. One month after treatment, the patient's symptoms and MRI signal abnormalities almost totally disappeared. Basal ganglia and brainstem venous congestion may occur in traumatic CCF in cases of a hypoplastic or agenetic second segment of the BVR and may provoke emergency treatment.


1967 ◽  
Vol 9 ◽  
pp. 94b-97
Author(s):  
Ken'ichi YAMAGA ◽  
Bun'ichiro NAGAO ◽  
Hajime IWA ◽  
Norio ONO ◽  
Tsutomu TANABE ◽  
...  

1954 ◽  
Vol 11 (3) ◽  
pp. 323-326 ◽  
Author(s):  
Captain T. H. Mason ◽  
Captain G. M. Swain ◽  
Colonel H. R. Osheroff

2011 ◽  
Vol 26 (4) ◽  
pp. 335
Author(s):  
Jong Kun Ha ◽  
Ji Hye Suk ◽  
A Ra Jo ◽  
Chan Woo Jung ◽  
Bong Jae Kim ◽  
...  

2014 ◽  
Vol 62 (9) ◽  
pp. 953
Author(s):  
SmitaVittal Praveen ◽  
VeenaOlma Noronha ◽  
AkshayGopinathan Nair

2018 ◽  
Vol 10 ◽  
pp. 251584141878830
Author(s):  
Shaheryar Khan ◽  
Caspar Gibbon ◽  
Steve Johns

Carotid cavernous fistula is an abnormal communication between the carotid arterial system and the cavernous sinus. We present an interesting, rare case of bilateral spontaneous ‘Barrow type- C’ fistula treated presumptively as conjunctivitis. A 66 year old patient presented in the eye casualty at North Devon District Hospital in January 2016, referred from her General practitioner complaining of bilateral red eyes. She was found to have large, prominently diffused and engorged scleral blood vessels on both sides along with raised intraocular pressures of 26mm of Hg bilaterally. The patient was diagnosed with an indirect carotic cavernous fistulas bilaterally in view of the clinical and radiology findings. Barrow type - C dural fistulas were reported to be seen bilaterally on radiology findings. Patient was referred for interventional treatment to the closest neurosurgical center where she had four failed attempts of coil embolization after which she was referred to a second neurosurgery center at Bristol where she underwent successful coil catheterization as the treatment for her carotid cavernous fistula. Indirect carotid cavernous fistula most commonly occur spontaneously. Bilateral spontaneous indirect carotid cavernous fistula is a very rare diagnosis and and there are very few cases reported in the literature without an underlying etiology or a known cause like Ehlers -Danlos syndrome or diabetes mellitus. Bilateral spontaneous carotid cavernous fistulas are difficult to diagnose due to mild symptoms and no history of trauma. We conclude that carotid cavernous fistulas are a threat to the vision if left untreated due to delayed diagnosis. We recommend considering bilateral carotid cavernous fistula as a differential diagnosis in patients with an ongoing history of red eyes or those unresponsive to conventional topical treatment for conjunctivitis like symptoms.


Radiology ◽  
1972 ◽  
Vol 102 (2) ◽  
pp. 391-392 ◽  
Author(s):  
Franklin D. Curl ◽  
John C. Harbert ◽  
Alfred D. Luessenhop ◽  
Giovanni Di Chiro ◽  
Ralph F. Kamm

2018 ◽  
Vol 29 ◽  
Author(s):  
Dilek Yilmaz ◽  
Asli Akyol Gurses ◽  
Koray Akkan ◽  
Yusuf Oner ◽  
Erhan Ilgit ◽  
...  

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