Bilateral carotid-cavernous fistula presented with unilateral symptomatology
Introduction. Carotid-cavernous fistula presents an abnormal communication between carotid arterial system and the venous cavernous sinus. Due to anatomical characteristics of the sinus, the clinical picture is first manifested as ophthalmic problem. These fistulas are either of spontaneous or traum...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2018-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600395S.pdf |
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| author | Stojčić Milan Đurić Gordana Žorić Lepša |
| author_facet | Stojčić Milan Đurić Gordana Žorić Lepša |
| author_sort | Stojčić Milan |
| collection | DOAJ |
| description | Introduction. Carotid-cavernous fistula presents an abnormal communication between carotid arterial system and the venous cavernous sinus. Due to anatomical characteristics of the sinus, the clinical picture is first manifested as ophthalmic problem. These fistulas are either of spontaneous or traumatic origin with different hemodynamics. They are usually on one side. However, bilateral carotidcavernous fistulas are rare and deserve special interest. Case report. We presented a 76-years-old female patient, who complained on diplopia and right eye protrusion and esotropia. Ophthalmological findings aroused suspicion of a right-side spontaneous carotid-cavernous fistula. Further non-invasive and invasive investigations confirmed our initial diagnosis. Unexpectedly, digital subtraction angiography revealed another fistula, on her left side. Both fistulas were of low flow and did not need therapy. Conclusion. Carotid- cavernous fistula represent certain diagnostic and therapeutic challenge. Although they are not indicated in a clinical picture, sometimes bilateral fistulas can be found during appropriate diagnostic procedures. |
| format | Article |
| id | doaj-art-2b8e6ebcd92c4dbc99373ce346fad9d6 |
| institution | Kabale University |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-2b8e6ebcd92c4dbc99373ce346fad9d62025-08-20T03:54:56ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202018-01-0175994094310.2298/VSP161102395S0042-84501600395SBilateral carotid-cavernous fistula presented with unilateral symptomatologyStojčić Milan0Đurić Gordana1Žorić Lepša2Railway Health Institute, Department of Ophthalmology, BelgradeRailway Health Institute, Department of Neurology and Psychiatry, BelgradeFaculty of Medicine, Kosovska Mitrovica + Health Center Kosovska Mitrovica, Ophthalmology Department, Kosovska MitrovicaIntroduction. Carotid-cavernous fistula presents an abnormal communication between carotid arterial system and the venous cavernous sinus. Due to anatomical characteristics of the sinus, the clinical picture is first manifested as ophthalmic problem. These fistulas are either of spontaneous or traumatic origin with different hemodynamics. They are usually on one side. However, bilateral carotidcavernous fistulas are rare and deserve special interest. Case report. We presented a 76-years-old female patient, who complained on diplopia and right eye protrusion and esotropia. Ophthalmological findings aroused suspicion of a right-side spontaneous carotid-cavernous fistula. Further non-invasive and invasive investigations confirmed our initial diagnosis. Unexpectedly, digital subtraction angiography revealed another fistula, on her left side. Both fistulas were of low flow and did not need therapy. Conclusion. Carotid- cavernous fistula represent certain diagnostic and therapeutic challenge. Although they are not indicated in a clinical picture, sometimes bilateral fistulas can be found during appropriate diagnostic procedures.http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600395S.pdfcarotid-cavernous fistuladiagnosisdiagnostic techniques and proceduresangiography, digital subtraction |
| spellingShingle | Stojčić Milan Đurić Gordana Žorić Lepša Bilateral carotid-cavernous fistula presented with unilateral symptomatology Vojnosanitetski Pregled carotid-cavernous fistula diagnosis diagnostic techniques and procedures angiography, digital subtraction |
| title | Bilateral carotid-cavernous fistula presented with unilateral symptomatology |
| title_full | Bilateral carotid-cavernous fistula presented with unilateral symptomatology |
| title_fullStr | Bilateral carotid-cavernous fistula presented with unilateral symptomatology |
| title_full_unstemmed | Bilateral carotid-cavernous fistula presented with unilateral symptomatology |
| title_short | Bilateral carotid-cavernous fistula presented with unilateral symptomatology |
| title_sort | bilateral carotid cavernous fistula presented with unilateral symptomatology |
| topic | carotid-cavernous fistula diagnosis diagnostic techniques and procedures angiography, digital subtraction |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600395S.pdf |
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