title: [Diagnosis by Doppler color echography of dural carotid-cavernous fistula of ophthalmological manifestation].
abstract: The case reported here, concerns a spontaneous low-flow fistula between the external carotid arterial network and the cavernous sinus, with ophthalmological symptoms (exophthalmos, red eye) in an old woman with cardiac failure. The shunt was diagnosed by color-Doppler-imaging, which showed a flow reversal with a systolic component in the superior and inferior enlarged ophthalmic veins. This finding led the authors to extend the arterial filling sequence since the shunt was not detectable on standard arterial views. Embolization was performed during angiography which remains necessary to localize the shunt and to treat the fistula. The clinical symptoms progressively returned to normal and the correction of the hemodynamic disturbances could be followed by color-Doppler imaging, a non-invasive technique which can be easily repeated.
authors.affiliation: Hôpital Gui-de-Chauliac, Service d'Ophtalmologie, Montpellier.
authors.forename: V
authors.initials: V
authors.lastname: Soulier-Sotto
authors.forename: L
authors.initials: L
authors.lastname: Beaufrere
authors.forename: J P
authors.initials: JP
authors.lastname: Laroche
authors.forename: M
authors.initials: M
authors.lastname: Dauzat
authors.forename: G
authors.initials: G
authors.lastname: Bourbotte
authors.forename: J M
authors.initials: JM
authors.lastname: Bourgeois
authors.forename: C
authors.initials: C
authors.lastname: Janbon
authors.forename: B
authors.initials: B
authors.lastname: Arnaud
mesh_terms: D000368:Aged; D001164:Arteriovenous Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D002342:Carotid Artery, External; D002426:Cavernous Sinus; D003229:Conjunctival Diseases / Q000209:etiology; D004388:Dura Mater; D015150:Echocardiography, Doppler; D005094:Exophthalmos / Q000209:etiology; D005128:Eye Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D009798:Ocular Hypertension / Q000209:etiology
vernacular_title: Diagnostic par écho-Doppler-couleur d'une fistule durale de la loge caverneuse à révélation ophtalmologique.