Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations

Citation

Mohammad Razali, Amirah and Sobri, Mohammad Jazli and Fuad, Muhammad Khairul Adha and Abdul Rashid, Anna Misyail and Md Noh, Mohamad Syafeeq Faeez (2024) Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations. Cureus, 16 (11). art. no. e73670. pp. 1-5. ISSN 2168-8184

Abstract

A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dyslipidemia, who had a complex indirect CCF from the right internal and right external carotid artery, draining into the left ophthalmic vein and giving rise to left ocular manifestation. Endovascular embolization was attempted but was unsuccessful. The patient subsequently developed a stroke one day post-procedure, with a favorable recovery of function.

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Additional Metadata

Item Type:	Article
Divisions:	Faculty of Medicine and Health Science Hospital Pengajar UPM
DOI Number:	https://doi.org/10.7759/cureus.73670
Publisher:	Springer Science and Business Media LLC
Keywords:	Carotid-cavernous sinus fistula; Corkscrew vessels; Diplopia; Endovascular embolization; Proptosis
Depositing User:	Ms. Che Wa Zakaria
Date Deposited:	15 May 2025 00:15
Last Modified:	15 May 2025 00:15
Altmetrics:	http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.7759/cureus.73670
URI:	http://psasir.upm.edu.my/id/eprint/117351
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