Carotid cavernous fistulas are abnormal communications between the carotid and cavernous vasculature, with potential for serious neurological and ocular sequelae. There is considerable literature on the neuro-radiological management of carotico-cavernous fistula depending upon their flow status. The coronary artery bypass grafting (CABG) for coronary artery disease (CAD) is a well established m...

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 a...

This case report demonstrates delayed rupture of a cavernous carotid fistula and aneurysm into the temporal lobe 12 years after treating a direct cavernous carotid artery fistula using detachable silicon balloons. The ultimate treatment was performed using arterial endovascular sacrifice. Successful treatment of cavernous carotid fistulas may ultimately lead to formation of cavernous aneurysms....

PURPOSE To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision. CASE REPORT A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye over 2 hours. Imaging studies revealed a direct carotid-cavernous fistula. Management for high in...

Closure of a direct carotid cavernous fistula with detachable coils by transpterygoid venous approach to the cavernous sinus is an alternative technique that may be applied in cases in which other techniques offer increased risk or in which other techniques have failed. In this case report, we present the details of the management of a direct carotid cavernous fistula by this method.

Spontaneous carotid-cavernous fistulae are uncommon. They are seen mostly in association with hypertension, atherosclerosis or intracranial aneurysm (Bickerstaff, 1970). Facial palsy was noted by Walsh (1957) in a case of traumatic carotid-cavernous fistula which recovered in one year. Involvement of the third, fourth, fifth and sixth cranial nerves has been frequently noted (Walsh, 1957; Sattl...

We report a case of a ruptured aneurysm of the anomalous cerebellar artery originating from internal carotid artery presenting with a carotid cavernous fistula (CCF). An initial angiogram showed the typical appearance of a CCF with a direct fistulous tract with focal aneurysmal dilation from the ascending cavernous segment of the right internal carotid artery. A postembolization angiogram of th...

The complications of carotid cavernous fistula include (1) intracerebral hematoma, subarachnoid hemorrhage, intraorbital hemorrhage, epistaxis, and otorrhagia [1-4]; (2) blurred vision or loss of vision caused by secondary glaucoma, intraorbital hemorrhage, or other causes [1, 5] ; (3) cerebral ischemia due to steal of blood by the fistula [1 ]; (4) progressive proptosis [1, 5] ; (5) increased ...

Direct fistulas between the internal carotid artery and the cavernous sinus are mostly posttraumatic and are due to laceration of the carotid siphon or rupture of its intracavernous branches (1]. The fistula is usually unilateral but can be bilateral [1 , 2]. In general , only one communication occurs betwe~n the carotid siphon and the cavernous sinus, as was shown in a large number of cases wh...

This paper reports a case of spontaneous indirect carotid cavernous fistula that presented with pulsatile tinnitus, left-sided temporal headache and left-sided ptosis. The pulsatile tinnitus, its aetiology and investigation are discussed. The importance of pulsatile tinnitus is highlighted, with a discussion of carotid-cavernous fistulas. This case illustrates that clinically silent cavernous s...