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BMJ Case Rep ; 12(3)2019 Mar 31.
Article in English | MEDLINE | ID: mdl-30936337

ABSTRACT

A 48-year-old woman presented with bilateral non-pulsatile proptosis and ophthalmoplegia after 3 days following blunt orbital trauma. It was associated with fever, malaise and loss of vision in right eye. She was provisionally diagnosed with cavernous sinus thrombosis and was treated with intravenous antibiotics with no improvement. A subtle bruit was present on examination, and digital subtraction angiography revealed a right direct (type A) carotid-cavernous fistula (CCF). The patient underwent right coil embolisation of direct CCF. On follow-up at 4 months, her proptosis resolved completely and extraocular movements improved.


Subject(s)
Carotid-Cavernous Sinus Fistula/surgery , Craniocerebral Trauma/physiopathology , Embolization, Therapeutic/methods , Exophthalmos/physiopathology , Accidents, Traffic , Angiography, Digital Subtraction , Carotid-Cavernous Sinus Fistula/etiology , Carotid-Cavernous Sinus Fistula/physiopathology , Craniocerebral Trauma/complications , Craniocerebral Trauma/surgery , Exophthalmos/etiology , Exophthalmos/surgery , Eye/blood supply , Eye/physiopathology , Female , Humans , Middle Aged , Recovery of Function , Treatment Outcome
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