title: [Bilateral exophthalmos secondary to right carotid-cavernous sinus fistula].
abstract: 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.
authors: Servicio de Oftalmología I, Hospital Central de Asturias, Oviedo, España.
authors: C
authors: C
authors: Burgueño Montañés
authors: J J
authors: JJ
authors: Barbón García
authors: M
authors: M
authors: Muro Plaza
authors: J I
authors: JI
authors: Fernández Diego
mesh_terms: D001164:Arteriovenous Fistula / Q000150:complications*; D002346:Carotid Sinus; D002426:Cavernous Sinus; D005094:Exophthalmos / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged