title: Carotid-cavernous sinus fistula: delayed diagnosis following road traffic accident.
abstract: We present the case of a patient who sustained a blunt head injury resulting in a delayed diagnosis of a carotid-cavernous sinus fistula. Although rare in occurrence, a high index of suspicion is paramount with a history of head injury and developing signs in the eyes and face. Prompt referral to senior ophthalmic and neurosurgical teams is indicated to prevent the possibility of permanent visual loss with this condition.
authors.affiliation: Department of Trauma and Orthopaedics, Chelsea and Westminster Hospital, London, UK. jamesskipworth@doctors.org.uk
authors.forename: James
authors.initials: J
authors.lastname: Skipworth
authors.forename: Kate
authors.initials: K
authors.lastname: Beary
authors.forename: Charles
authors.initials: C
authors.lastname: Gibbons
mesh_terms: D000063:Accidents, Traffic; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis* / Q000209:etiology; D006259:Craniocerebral Trauma / Q000150:complications*; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008875:Middle Aged; D012017:Referral and Consultation