A Case of Carotid Cavernous Fistula Presenting with "Delayed Red-Eyed Shunts".
- Author:
Ki Bum SUNG
1
;
Won Hee CHUNG
;
Jeong Ho PARK
;
Dae Ho KIM
Author Information
1. Department of Neurology, College of Medicine, Soonchunhyang University, Bucheon, Korea. sungkb@schbc.ac.kr
- Publication Type:Case Report
- Keywords:
Carotid cavernous sinus fistula;
Ocular motor nerve palsy
- MeSH:
Carotid-Cavernous Sinus Fistula;
Drainage;
Exophthalmos;
Fistula*;
Headache;
Humans;
Paralysis
- From:Journal of the Korean Balance Society
2006;5(2):307-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Presenting symptoms of carotid cavernous fistulas (CCF) may vary according to the draining vessels. Prominent external orbito-ocular signs such as red eye, proptosis, ocular bruit occur, when the shunt drains anteriorly ("red-eyed shunts"), whereas an isolated ocular motor nerve palsy and headache can be the only presenting symptoms when it drains posteriorly ("white-eyed shunts"). Turning the eyes red from white eyed-shunt weeks to months ("delayed red-eyed shunts") suggest the direction of fistula drainage shifted anteriorly; it has rarely been reported. We report a patient with delayed red-eyed shunts whose red eye resolved after chemical embolization of draining vessels.
