Publication:
Indirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorShrestha, Pooja
dc.contributor.authorShrestha, Angira
dc.contributor.authorKhoju, Tina
dc.contributor.authorMakaju, Richa
dc.contributor.authorKeshari, Rajani
dc.contributor.authorGupta, Rahul
dc.contributor.authorShrestha, Nigi
dc.date.accessioned2025-08-12T07:56:10Z
dc.date.available2025-08-12T07:56:10Z
dc.date.issued2024
dc.descriptionPooja 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
dc.description.abstractAbstract 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.
dc.identifierhttps://doi.org/10.31729/jnma.8615
dc.identifier.urihttps://hdl.handle.net/20.500.14572/1488
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.titleIndirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report
dc.typeOther
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage410
oaire.citation.startPage407
relation.isJournalIssueOfPublicationd257200e-c055-409f-9801-b3821ec8b32c
relation.isJournalIssueOfPublication.latestForDiscoveryd257200e-c055-409f-9801-b3821ec8b32c
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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