Direct carotid-cavernous fistula presenting with minimal symptoms and rapid angiographic progression.
Most patients with direct carotid-cavernous fistulas (CCFs) present with dramatic symptoms including proptosis, chemosis, and diplopia. We report a patient with a direct/high-flow CCF whose only initial symptom was pulse-synchronous tinnitus. Following diagnostic angiography, she developed mild symptoms and dramatic angiographic changes over a period of 3 days. Complete occlusion of the CCF and resolution of her symptoms were achieved by performing a stent-assisted coil embolization.
Albert
Gregory W
GW
Department of Neurosurgery, University of Iowa Hospital and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Dahdaleh
Nader S
NS
Hasan
David M
DM
D020216:Carotid-Cavernous Sinus Fistula / Q000000981:diagnostic imaging* / Q000601:surgery; D002533:Cerebral Angiography / Q000379:methods; D018450:Disease Progression; D005260:Female; D006801:Humans; D008875:Middle Aged; D013997:Time Factors