Cavernous sinus-carotid fistula: a complication of maxillofacial injury.
A case of traumatic carotid-cavernous sinus fistula (CCSF) is presented. The patient sustained an undisplaced fracture of his right mandibular condyle and a zygoma fracture after a motor vehicle accident. Five months later, all the classic signs and symptoms of a CCSF had appeared except ophthalmoplegia. These symptoms were preceded by a tiring auditive homolateral sensation. A carotid angiography confirmed the presence of a large CCSF. Successful management was achieved intravascularly by balloon embolization.
D000063:Accidents, Traffic; D000293:Adolescent; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002404:Catheterization; D002426:Cavernous Sinus / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D004487:Edema / Q000209:etiology; D004621:Embolization, Therapeutic; D005094:Exophthalmos / Q000209:etiology; D005141:Eyelid Diseases / Q000209:etiology; D006311:Hearing Disorders / Q000209:etiology; D006801:Humans; D008297:Male; D008335:Mandibular Condyle / Q000293:injuries*; D008337:Mandibular Fractures / Q000150:complications*; D015051:Zygomatic Fractures / Q000150:complications*