PAINFUL OPHTHALMOPLEGIA IN CAROTID-CAVERNOUS FISTULA

Ophthalmoplegia is defined as a consequence of multiple cranial nerve paralysis innervated the extraocular muscles. The impairment ophthalmic branch trigeminal will create painful condition. Numerous underlying mechanism have been proposed related to ophthalmoplegia and carotid-cavernous fistula one main causes with sight life threatening outcome if left untreated. Carotid-cavernous arises an abnormal communication between carotid artery cavernous sinus. Important signs symptoms may include red eye, proptosis, ophthalmoplegia, headache vision loss. Neuroimaging angiography are mandatory in diagnosing disease. Systematized approach early recognition evaluation lead prompt management avoiding morbidity mortality severe cases.