title: [Recurrent neurosensory macular detachment in carotid-cavernous fistula].
abstract: METHODS
  A 46 year-old man was seen in the emergency department complaining of vision loss and exophthalmos in his right eye. He also complained of headache, diplopia of 4 months onset, and neurosensory detachment that resolved spontaneously the month before. The study revealed tortuous conjunctival and episcleral vessels and neurosensory macular detachment in his right eye. A carotid-cavernous fistula was confirmed by computed tomography angiography. The fistula closed spontaneously during the hospitalization. One month later, the neurosensory detachment disappeared again.
  
  
  CONCLUSIONS
  Carotid-cavernous fistula should be included in the differential diagnosis of neurosensory macular detachments. These neurosensory detachments can resolve spontaneously 11 the fistula is closed.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España. Electronic address: elisabetdedompablo@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: de Dompablo
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: L
authors.initials: L
authors.lastname: Díez-Álvarez
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: D
authors.initials: D
authors.lastname: Ruiz-Casas
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: V
authors.initials: V
authors.lastname: Sánchez-Gutiérrez
authors.affiliation: Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: Ciancas
authors.affiliation: Departamento de Retina Médica, Moorfields Eye Hospital NHS Foundation Trust, Londres, Reino Unido.
authors.forename: J J
authors.initials: JJ
authors.lastname: González-López
mesh_terms: D020216:Carotid-Cavernous Sinus Fistula / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D004630:Emergencies; D005094:Exophthalmos / Q000209:etiology; D005451:Fluorescein Angiography; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D059270:Petrositis / Q000175:diagnosis; D012008:Recurrence; D012075:Remission, Spontaneous; D012163:Retinal Detachment / Q000000981:diagnostic imaging / Q000209:etiology*; D041623:Tomography, Optical Coherence; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*
keywords: Carotid-cavernous sinus fistula; Desprendimiento macular; Desprendimiento neurosensorial; Desprendimiento seroso macular; Dural arteriovenous fistula; Fístula arteriovenosa dural; Fístula carótido-cavernosa; Macular detachment; Neurosensory detachment; Serous macular detachment