a case of direct carotid-cavernous sinus fistula (ccf) after closed head injury is presented. a 22-year-old male presented to the emergency department of shohada tajrish hospital with the chief complaint of blurred vision and pulsatile retro-orbital headache. the patient had closed head injury due to car accident 2 month ago with lower limb fracture. after a 2-week symptom-free period, he devel...

Post-traumatic sphenoid sinus pseudoaneurysm arising from the cavernous segment of internal carotidartery (ICA) is rare, and even rarer occurrence an associated carotid-cavernous fistula (CCF). Here we presentthe case a young male patient presenting with intractable epistaxis due to post-traumatic sinuspseudoaneurysm carotid artery simultaneous fistula.
 How cite this: Ibrahim MI, Nisar T,...

Proptosis due to carotid cavernous fistula is rare sequelae of head injury. We report a case of post-traumatic, direct high flow carotid cavernous fistula that resolved spontaneously 06 weeks after carotid angiography. It however, resulted in loss of vision due to delay in early treatment. In the cases of post-traumatic proptosis, carotid cavernous fistula should be kept in mind.

BACKGROUND Carotid-cavernous fistulas are abnormal communications between carotid arteries or their branches and the cavernous system caused mostly by trauma. Posttraumatic fistulas represent 70% of all carotid-cavernous fistulas and they are mostly high-flow shunts (type A). This type gives characteristic eye symptoms. CASE REPORT This paper presents a 44-year old male patient with carotid-c...

purpose: to describe a complicated case of traumatic carotid-cavernous fistula (ccf) and our management strategy. case report: a 13-year-old patient was referred one month following a car accident and facial trauma with severe proptosis, chemosis and limitation of ocular movement. presence of murmur and an enlarged superior ophthalmic vein on orbital imaging suggested an arteriovenous fistula. ...

A carotid cavernous fistula is an abnormal communication between the internal carotid artery and the cavernous sinus. Rarely, this communication is associated with a persistent primitive trigeminal artery, with or without a trigeminal artery aneurysm. We report a case of spontaneous carotid-trigeminal cavernous fistula in which the persistent trigeminal artery was shown only on vertebral artery...

BACKGROUND Carotid cavernous fistulas are abnormal communications between the cavernous sinus and the external or internal carotid arteries. Although rare, closure of carotid cavernous fistulas can lead to immediate ocular complications. To our knowledge, our case represents the first report of worsening angle closure glaucoma and choroidal detachments over an extended period of two months subs...

Directed carotid cavernous fistula means high blood flow shunts between the internal carotid artery and the cavernous sinus. Obstructing the abnormal shunt between the internal carotid artery and the cavernous sinus while preserving the internal carotid artery is the key role in fistula treatment. Transarterial balloon embolization is currently the gold standard treatment for most of the caroti...

The goal of therapy in patients with traumatic carotid-cavernous fistulas is to occlude the fistula, preferably while maintaining the carotid blood flow. Surgical techniques that treat the fistula remote from the cavernous sinus often cannot maintain carotid patency. Various interventional techniques using detachable balloons have been developed. The most common technique uses the endarterial r...

Unilateral carotid cavernous fistula presents with ipsilateral ocular findings. Bilateral presentation is only seen in bilateral fistulas, usually associated with indirect (dural) carotid cavernous fistulas. Direct carotid cavernous fistulas are an abnormal communication between the internal carotid artery and the cavernous sinus. They typically begin with a traumatic disruption in the artery w...