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Post-traumatic carotid–cavernous fistula
  1. Patricia Lopez Gomez1,
  2. David Mato Mañas1,
  3. Eduardo Torres Diez2,
  4. Carlos Santos Jimenez1,
  5. Jesús Esteban García1
  1. 1 Neurosurgery, Hospital Universitario Marques de Valdecilla, Santander, Spain
  2. 2 Neuroradiology, Hospital Universitario Marques de Valdecilla, Santander, Spain
  1. Correspondence to Dr Patricia Lopez Gomez, Neurosurgery, Hospital Universitario Marques de Valdecilla, Santander 39008, Spain; patricia91lpz{at}

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A 46-year-old man attended the emergency department with a 24-hour history of sudden onset and progressive proptosis of the left eye. Over the previous days, he had experienced severe nausea and vomiting, causing multiple Valsalva manoeuvres. He had been discharged from hospital 12 days before after a severe head injury with skull base fractures affecting the central part of the sphenoid bone. On examination, he had a left exophthalmos, periorbital oedema with significant chemosis, with loss of all eye movements on the left (frozen eye), decreased visual acuity and elevated intraocular …

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  • Contributors PLG examined the patient, provided clinical information about the patient, wrote the report and obtained the informed consent from the patient. DMM examined the patient, provided patient’s pictures at diagnosis and revised the report. ETD provided arteriography images. CSJ provided postprocedure clinical pictures. JEG did patient’s follow-up and revised the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed by Holger Allroggen, Coventry, UK.

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