A rare case of bilateral spontaneous indirect caroticocavernous fistula treated previously as a case of conjunctivitis

Therapeutic Advances in Ophthalmology
Shaheryar KhanSteve Johns

Abstract

Carotid cavernous fistula is an abnormal communication between the carotid arterial system and the cavernous sinus. We present an interesting, rare case of bilateral spontaneous 'Barrow type- C' fistula treated presumptively as conjunctivitis. A 66 year old patient presented in the eye casualty at North Devon District Hospital in January 2016, referred from her General practitioner complaining of bilateral red eyes. She was found to have large, prominently diffused and engorged scleral blood vessels on both sides along with raised intraocular pressures of 26mm of Hg bilaterally. The patient was diagnosed with an indirect carotic cavernous fistulas bilaterally in view of the clinical and radiology findings. Barrow type - C dural fistulas were reported to be seen bilaterally on radiology findings. Patient was referred for interventional treatment to the closest neurosurgical center where she had four failed attempts of coil embolization after which she was referred to a second neurosurgery center at Bristol where she underwent successful coil catheterization as the treatment for her carotid cavernous fistula. Indirect carotid cavernous fistula most commonly occur spontaneously. Bilateral spontaneous indirect carotid cavernous fis...Continue Reading

References

Mar 29, 1978·Neuroradiology·R Diez LobatoE Lamas
Jan 15, 1991·American Journal of Ophthalmology·R H Spector
Dec 1, 1990·Acta Ophthalmologica·O H HaugenJ Kråkenes
Feb 1, 1985·Journal of Neurosurgery·D L BarrowG T Tindall
Jan 1, 1972·Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie. Albrecht Von Graefe's Archive for Clinical and Experimental Ophthalmology·E Stolpmann
Jan 1, 1967·Journal of Neurosurgery·A Schoolman, J J Kepes
Aug 5, 2005·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Jitendra Jethani, J K Ajani
Jul 6, 2007·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·George K C WongW S Poon
Sep 16, 2010·Current Treatment Options in Neurology·Joseph J GemmeteSameer Ansari
Jun 15, 2011·Indian Journal of Ophthalmology·Remzi KaradagMustafa Durmus
Apr 10, 2013·Annales de dermatologie et de vénéréologie·M GirardinF Aubin
May 15, 2013·World Journal of Radiology·Bora KorkmazerOsman Kizilkilic
Apr 1, 2017·Neurosurgery·Fawaz Al-MuftiCharles J Prestigiacomo
Aug 19, 2017·The Pan African Medical Journal·Adil Belhachmi
Apr 10, 2018·Interventional Neurology·Varun NaragumThanh N Nguyen

❮ Previous
Next ❯

Citations

Jan 27, 2021·Practical Neurology·Tara TranUdaya Seneviratne

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.