[Bilateral exophthalmos secondary to right carotid-cavernous sinus fistula].
METHODS
Male with cranioencephalic trauma who rapidly developed a marked bilateral exophthalmos. A CT was requested, the CT findings suggest a right-side carotid-cavernous sinus fistula (CCSF), which was confirmed by means of a cerebral arteriography. Following treatment with intravascular balloon pump the patient's condition improved quite spectacularly.


CONCLUSIONS
CCSFs are anomalous communications between the cavernous sinus and the carotid artery which may be of a spontaneous nature, a result of trauma or iatrogenia and which have hemodynamic repercussions throughout the drainage area of the cavernous sinus. Sonography, CT or MR are useful whilst a cerebral angiography is required for diagnosis. CCSFs resulting from trauma normally require endovascular therapy with selective embolization techniques.
Burgueño Montañés
C
C
Servicio de Oftalmología I, Hospital Central de Asturias, Oviedo, España.
Barbón García
J J
JJ
Muro Plaza
M
M
Fernández Diego
J I
JI
D001164:Arteriovenous Fistula / Q000150:complications*; D002346:Carotid Sinus; D002426:Cavernous Sinus; D005094:Exophthalmos / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged