scholarly journals Misdiagnosed Spontaneous Carotid Cavernous Sinus Fistula

2019 ◽  
Vol 3 (3) ◽  
pp. 256-258
Author(s):  
Maureen Canellas ◽  
Navneet Cheema
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Cavernous Sinus ◽  
Dry Eye ◽  
Vision Loss ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Carotid Cavernous Sinus Fistula ◽  
Blurry Vision

A 63-year-old female presented to the emergency department with worsening left-sided blurry vision and diplopia. She had previously seen several physicians and had been diagnosed with common ocular conditions – keratoconus and dry eye. However, despite treatment her symptoms were worsening. By the time her true underlying diagnosis was treated, she was left with permanent vision loss. This case report discusses the presentation, diagnosis, and treatment of her rare condition.

scholarly journals Intractable Posterior Epistaxis due to a Spontaneous Low-Flow Carotid-Cavernous Sinus Fistula: A Case Report and a Review of the Literature

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
A. Giotakis ◽  
F. Kral ◽  
H. Riechelmann ◽  
M. Freund
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Gold Standard ◽  
State Of The Art ◽  
Low Flow ◽  
Digital Subtraction ◽  
Review Of The Literature ◽  
Therapeutic Procedures ◽  
Carotid Cavernous Sinus Fistula

We report a case of a 90-year-old patient with intractable posterior epistaxis presenting as the only symptom of a nontraumatic low-flow carotid-cavernous sinus fistula. Purpose of this case report is to introduce low-flow carotid-cavernous sinus fistula in the differential diagnosis of intractable posterior epistaxis. We provide a literature review for the sequence of actions for the confrontation of posterior epistaxis. We also emphasize the significance of the radiological diagnostic and therapeutic procedures in the management of posterior epistaxis due to pathology of the cavernous sinus. The gold-standard diagnostic procedure of carotid-cavernous sinus fistula is digital subtraction angiography (DSA). DSA with coils is also the state-of-the-art therapy. By failure of DSA, neurosurgery or stereotactic radiosurgery (SRS) may be used as alternatives. SRS may also be used as enhancement procedure of the DSA. Considering the prognosis of a successfully closed carotid-cavernous sinus fistula, recanalization occurs only in a minority of patients. Close follow-up is advised.

scholarly journals Retenção Urinária Como Manifestação de Hematocolpos

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Íris Santos Silva ◽  
Renata Martello ◽  
António Mendes ◽  
Albertino Chaves
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Urinary Retention ◽  
Genital Tract ◽  
Rare Condition ◽  
Tanner Stage ◽  
Imperforate Hymen ◽  
Uncommon Condition ◽  
Rare Symptom

Hematocolpos is an obstruction of the menstrual flow due to an anomaly of the genital tract, with imperforate hymen being the most common one. It is an uncommon condition, with a prevalence of 1:1000 – 1:16 000. It is usually an asymptomatic condition until the onset of menarche, when there is accumulation of blood in the vagina (hematocolpos) or in the uterus (hematometra). A rare symptom of hematocolpos could be urinary retention. Our case report is about a 12-year-old girl, with no menarche and Tanner stage M4/P5, who was admitted to our emergency department with abdominal pain and urinary retention. A brief review of this rare condition is presented, in order to remind clinicians about its existence, so that it can be diagnosed and treated as quickly as possible.

scholarly journals Emergency diagnosis and treatment of congenital lobar emphysema in a puppy

2018 ◽  
Vol 6 (3) ◽  
pp. e000592 ◽  
Author(s):  
Naomi F Earley ◽  
Michael E Herrtage ◽  
Jon L Hall
Keyword(s):  
Case Report ◽  
Rare Condition ◽  
Accurate Diagnosis ◽  
Diagnosis And Treatment ◽  
Radiographic Findings ◽  
Congenital Lobar Emphysema ◽  
Emergency Diagnosis ◽  
Lung Lobectomy ◽  
Acute Dyspnoea ◽  
Lobar Emphysema

Congenital lobar emphysema is a rare condition in dogs. A three-month-old pug presented with acute dyspnoea and radiographic findings diagnosed congenital lobar emphysema. Due to the patient’s rapidly deteriorating ventilation, an emergency right middle lung lobectomy was performed and recovery was uneventful. This case report describes the importance of making a prompt and accurate diagnosis of this condition, based on radiographic findings, to facilitate immediate treatment.

scholarly journals Direct Carotid-cavernous Sinus Fistula Due to Ruptured Intracavernous Aneurysm Treated with Electrodetachable Coils —Case Report—

1999 ◽  
Vol 39 (9) ◽  
pp. 681-684 ◽  
Author(s):  
Akimasa NISHIO ◽  
Yoshihiko NISHIJIMA ◽  
Takashi TSURUNO ◽  
Takaho MURATA ◽  
Akira HAKUBA
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Intracavernous Aneurysm ◽  
Carotid Cavernous Sinus Fistula

Bilateral carotid cavernous sinus fistula: a case report and review of the literature

2017 ◽  
Vol 265 (3) ◽  
pp. 453-459 ◽  
Author(s):  
Gavin Docherty ◽  
Maryam Eslami ◽  
Kailun Jiang ◽  
Jason S. Barton
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Review Of The Literature ◽  
Bilateral Carotid ◽  
Carotid Cavernous Sinus Fistula

scholarly journals Acute bilateral vision loss in emergency department: A case report

2016 ◽  
Vol 16 (1) ◽  
pp. 38-40
Author(s):  
Ceren sen Tanrikulu ◽  
Hilal Hocagil ◽  
Ural Kaya ◽  
Abdullah Cuneyt Hocagil
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Vision Loss

scholarly journals Tolosa-Hunt: Case Report

2021 ◽  
Author(s):  
Lília Tereza Diniz Nunes ◽  
Flávia S. Silva ◽  
Karyme G. Aota ◽  
Maria Beatriz Miranda S. B. de Assis ◽  
João Fellipe B. Bento ◽  
...  
Keyword(s):  
Case Report ◽  
Cavernous Sinus ◽  
Clinical Care ◽  
Cranial Nerves ◽  
Rare Condition ◽  
Unknown Etiology ◽  
Specific Diagnosis ◽  
Hunt Syndrome ◽  
Diagnosis By Exclusion ◽  
History Of

Context: Tolosa-Hunt Syndrome (STH) is a rare condition with unknown etiology, it affects both genders equally. It is manifested by inflammation of the cavernous sinus and involvement of some cranial nerves pairs. Case report: MSR, 39 years, male, diver in the mining zone, history of recurrent otitis with acute pain and gradual hearing loss that progressed. He was admitted to the General Hospital of Palmas with symptoms of retrorbital headache. After physical exams it was found an ophthalmoplegia with right amaurosis and ipsilateral pain. The neurological examination showed a right eye with loss of photomotor reflex and presence of consensual reflex and eyelid ptosis. After 38 days in hospital, a probable septic thrombosis of the cavernous sinus was found, antibiotic and corticosteroids therapy was initiated. The patient also reports significant improvement in headache and partially in vision, he is currently hospitalized with clinical care and antibiotic therapy, awaiting results of the image examination report. Conclusions: Painful ophthalmoplegia in most cases is not diagnosed as STH. The differential diagnosis for this pathology is most often through brain magnetic ressonance and the ICHD-3 beta diagnostic criteria, STH should be suspected, but it is still necessary to close the diagnosis by exclusion, due to the lack of a specific diagnosis.

scholarly journals A Case of Unilateral Coccidioidal Chorioretinitis in a Patient with HIV-Associated Meningoencephalitis

2019 ◽  
Vol 2019 ◽  
pp. 1-3 ◽  
Author(s):  
Christopher B. Toomey ◽  
Andrew Gross ◽  
Jeffrey Lee ◽  
Doran B. Spencer
Keyword(s):  
Risk Factors ◽  
Vision Loss ◽  
Complement Fixation ◽  
Rare Condition ◽  
Threatening Condition ◽  
Life Threatening ◽  
History Of ◽  
Blurry Vision ◽  
Systemic Symptoms ◽  
The Right

Intraocular coccidioidomycosis is a rare condition, with the most commonly reported presentation being an idiopathic iritis in patients who live in or have traveled thorough endemic areas. A paucity of reports exists describing the chorioretinal manifestations of coccidioidomycosis. Here we report a case of unilateral coccidioidal chorioretinitis and meningoencephalitis in an AIDS patient that led to near complete unilateral loss of vision. A 48-year-old Hispanic female with poorly controlled HIV/AIDS in southern California presented with a three-week history of headache, nausea, vomiting, right eye blurry vision, and a one-day history of subjective fever. Examination of the right eye revealed vitritis and several large chorioretinal lesions scattered throughout the periphery and macula with optic disc pallor. Serum coccidioidomycoses complement fixation (CF) was positive (titers of 1 : 256). Neuroimaging revealed a new area of enhancement in the left anterior frontal lobe consistent with meningoencephalitis. The patient was treated with intravenous fluconazole and intravitreal voriconazole with resolution of systemic symptoms and vitritis but persistence of unilateral, severe chorioretinal scarring and vision loss. In conclusion, in spite of the rarity of intraocular coccidioidomycosis, one must carry a degree of suspicion for this vision- and life-threatening condition as a potential etiology of chorioretinitis in individuals with pertinent risk factors.

Case Report of Carbon Monoxide Poisoning in a Pregnant Patient: Mother Died, Baby Survived

2009 ◽  
Vol 16 (3) ◽  
pp. 176-178 ◽  
Author(s):  
Z Cakir ◽  
M Emet ◽  
I Caner ◽  
S Aslan ◽  
A Saritas
Keyword(s):  
Blood Pressure ◽  
Emergency Department ◽  
Carbon Monoxide ◽  
Cerebral Palsy ◽  
Case Report ◽  
Carbon Monoxide Poisoning ◽  
Rare Condition ◽  
Pregnant Patient ◽  
Spontaneous Respiration ◽  
Foetal Distress

Carbon monoxide poisoning in pregnant women is a relatively rare condition. We report a 32-year-old woman in her 32nd week of pregnancy found unconscious in the bathroom. On arrival, her pulse and blood pressure were undetectable. Cardiopulmonary resuscitation was applied. The mother's carboxyhaemoglobin level was 57%. Due to foetal distress, Caesarean section was performed in the emergency department. The baby was intubated due to the absence of spontaneous respiration. The level of carboxyhaemoglobin in the cord blood was 32%. After staying in the newborn unit for 47 days, the baby was discharged with a sequela of cerebral palsy.

Sign in / Sign up

Export Citation Format

Share Document