title: Carotid cavernous fistula with bilateral thalamic infarct.
abstract: Carotid cavernous fistula (CCF) is an abnormal communication between cavernous sinus and carotid arterial system. Diagnosis depends on clinical manifestations and MRI findings and angiography. Clinical presentation of CCFs is characterized with chemosis, orbital bruit and pulsatile proptosis. Cranial nerve dysfunction and orbital pain might accompany these symptoms. Although spontaneous remission might occur, sometimes CCF might develop life threatening complications. Here in this case we presented a patient with CCF who afterwards developed bilateral thalamic infarct. Cerebral ischemia in CCF is a rare complication and CCF together with bilateral thalamic infarct has not been reported before.
authors.affiliation: Zonguldak Karaelmas University, Faculty of Medicine, Department of Neurology, Zonguldak, Turkey. bozen73@yahoo.com
authors.forename: Banu Ozen
authors.initials: BO
authors.lastname: Barut
authors.forename: Nida
authors.initials: N
authors.lastname: Tascilar
authors.forename: Esra
authors.initials: E
authors.lastname: Aciman
authors.forename: Mustafa
authors.initials: M
authors.lastname: Acikgoz
authors.forename: Sureyya
authors.initials: S
authors.lastname: Ekem
mesh_terms: D000368:Aged; D020216:Carotid-Cavernous Sinus Fistula / Q000175:diagnosis*; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging / Q000379:methods*; D013788:Thalamus / Q000098:blood supply*; D014139:Tracheostomy
chemical_list: D003287:Contrast Media