Publication: Indirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Carotid-cavernous fistulas are rare entity with incidence of less than 1%, refers to abnormal connections between the carotid artery and cavernous sinus. Indirect types usually occur in elderly female patients and can resolve spontaneously with conservative management like external manual compression of the carotid artery. We report a case of 65-year-old female who presented with
complaints of redness, proptosis, chemosis, headache and ophthalmoplegia in her right eye. Digital subtraction angiography revealed Barrow type B indirect carotid-cavernous fistulas. External manual carotid compression was done after which her symptoms improved significantly. Thus, indirect type carotid-cavernous fistulas can occur spontaneously and could be a sight threatening condition especially in elderly females but can resolve with conservative management.
Description
Pooja Shrestha
Department of Ophthalmology, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
Angira Shrestha
Department of Ophthalmology, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
Tina Khoju
Department of Ophthalmology, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
Richa Makaju
Department of Ophthalmology, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal
Rajani Keshari
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Rahul Gupta
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal
Nigi Shrestha
Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal