Traumatic Carotid-cavernous Fistula with Contralateral Proptosis: Case Report.
10.3348/jkrs.2004.50.5.333
- Author:
Jee Young KIM
1
;
So Lyung JUNG
;
Kook Jin AHN
;
Yon Kwon IHN
;
Ha Hun SONG
;
Bum Soo KIM
;
Kwan Sung LEE
;
Jae Young BYUN
Author Information
1. Department of Radiology, Catholic University of Korea, Korea. bumrad@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Fistula, carotid-cavernous;
Angiography;
Magnetic resonance (MR), angiography
- MeSH:
Angiography;
Carotid Artery, Internal;
Cavernous Sinus;
Drainage;
Exophthalmos*;
Fistula*;
Humans;
Middle Aged;
Motor Vehicles;
Orbit;
Veins
- From:Journal of the Korean Radiological Society
2004;50(5):333-336
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Traumatic carotid-cavernous fistula frequently results in proptosis on the side of the fistula by retrograde drainage from the cavernous sinus to the superior ophthalmic vein. The involvement of the opposite orbit is due to the presence of connections between the cavernous sinuses on both sides, but exclusive contralateral orbit involvement is rare. We report a case in which the CCF with a contralateral proptosis developed in a 63 year-old man after a motor vehicle accident. MR angiography depicted the markedly dilated left cavernous sinus and left superior ophthalmic vein, sparing the right side. However, angiography showed a direct fistula between the right internal carotid artery and cavernous sinus with exclusive contralateral venous drainage via the intercavernous sinus. A detachable balloon was used to occlude the fistula, and the contralateral orbital symptom regressed.
