title: Spontaneous resolution of bilateral traumatic carotid cavernous fistulas and development of trans-sellar intercarotid vascular communication: case report.
abstract: Bilateral carotid cavernous fistulas may complicate head injury. Spontaneous resolution of post-traumatic direct carotid cavernous fistula is rare. CASE DESCRIPTION We present a case of a 42-year-old female who developed post-traumatic high flow bilateral carotid cavernous fistulas with cortical and deep venous drainage, who had a spontaneous resolution with thrombosis of the cavernous sinus outlets bilaterally and development of a trans-sellar intercarotid vascular communication. To our knowledge this is the first reported case in the literature describing such a phenomenon. CONCLUSION Bilateral direct carotid cavernous fistulas may undergo spontaneous resolution and form a benign trans-sellar intercarotid vascular communication.
authors.affiliation: Department of Surgery (Neurosurgery), University of Toronto, Ontario, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Alkhani
authors.forename: R
authors.initials: R
authors.lastname: Willinsky
authors.forename: K
authors.initials: K
authors.lastname: TerBrugge
mesh_terms: D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging*; D002533:Cerebral Angiography; D005260:Female; D005500:Follow-Up Studies; D016489:Head Injuries, Closed / Q000000981:diagnostic imaging*; D006801:Humans; D012075:Remission, Spontaneous