Subscribe to RSS

DOI: 10.1055/s-0040-1717218
Posttraumatic Carotid Cavernous Fistula–A Rare Case

Abstract
Carotid cavernous fistula (CCF) is a specific type of dural arteriovenous (AV) fistula characterized by abnormal AV shunting within the cavernous sinus. The authors presented in this article a case of a 17-year-old young male patient who encountered a road traffic accident while driving a car, with a history of flipping of cars multiple times. The patient was unconscious with symmetrical bilateral (B/L) pupils and with Glasgow coma scale (GCS) score of 3. There was no history of seizures or vomiting.
Keywords
CCF - head injury - posttraumatic pulsating proptosis - posttraumatic carotid cavernous fistula - proptosisPublication History
Article published online:
23 September 2020
© 2020. Neurotrauma Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Ringer AJ, Salud L, Tomsick TA. Carotid cavernous fistulas: anatomy, classification, and treatment. Neurosurg Clin N Am 2005; 16 (02) 279-295, viii
- 2 Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg 1985; 62 (02) 248-256
- 3 Ernst RJ, Tomsick TA. Classification and angiography of carotid cavernous fistulas. In: Tomsick TA, ed. Carotid Cavernous Sinus Fistula. Cincinnati, OH: Digital Education Publishing 1997: 13-22
- 4 Beylot C, Bioulac P, Doutre MS. Les manifestations artérielles du syndrome d’Ehlers-Danlos. Ann Med Interne (Paris) 1983; 134 (05) 451-457
- 5 Weiss DI, Shaffer RN, Nehrenberg TR. Neovascular gluacoma complicating carotid-cavernous fistula. Arch Ophthalmol 1963; 69: 304-307
- 6 Grove Jr AS. The dural shunt syndrome. Pathophysiology and clinical course. Ophthalmology 1984; 91 (01) 31-44
- 7 Keltner JL, Satterfield D, Dublin AB, Lee BC. Dural and carotid cavernous sinus fistulas. Diagnosis, management, and complications. Ophthalmology 1987; 94 (12) 1585-1600
- 8 Halbach VV, Hieshima GB, Higashida RT, Reicher M. Carotid cavernous fistulae: indications for urgent treatment. AJR Am J Roentgenol 1987; 149 (03) 587-593
- 9 Tjoumakaris SI, Jabbour PM, Rosenwasser RH. Neuroendovascular management of carotid cavernous fistulae. Neurosurg Clin N Am 2009; 20 (04) 447-452
- 10 Norman D, Newton TH, Edwards MS, DeCaprio V. Carotid-cavernous fistula: closure with detachable silicone balloons. Radiology 1983; 149 (01) 149-157