A bruital headache and double vision.
A 44-year-old woman presented with a painful abducens nerve palsy in the left eye. Examination revealed a white, quiet eye and an orbital bruit without proptosis. Magnetic resonance imaging demonstrated abnormal ipsilateral dural-based enhancement. Angiography confirmed a posterior draining carotid-cavernous fistula. Symptoms resolved spontaneously in approximately 8 months. The classification and treatment options for carotid-cavernous fistula are discussed.
Eggenberger
E
E
Center for Clinical Neuroscience and Ophthalmology, Michigan State University, East Lansing, MI, USA.
Lee
A G
AG
Forget
T R
TR
Rosenwasser
R
R
D000328:Adult; D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D004172:Diplopia / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006261:Headache / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D019586:Intracranial Hypertension / Q000150:complications / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D013129:Spinal Puncture; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity