Article Text
PDF
Statistics from Altmetric.com
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 …
Footnotes
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.
Read the full text or download the PDF:
Other content recommended for you
- Bilateral spontaneous carotid-cavernous fistulae
- Multimodal endovascular therapy of traumatic and spontaneous carotid cavernous fistula using coils, n-BCA, Onyx and stent graft
- Rare vascular complication of percutaneous balloon compression of trigeminal neuralgia treated endovascularly
- Transorbital superior ophthalmic vein sacrifice to preserve vision in ocular hypertension from aseptic cavernous sinus thrombosis
- Transorbital superior ophthalmic vein sacrifice to preserve vision in ocular hypertension from aseptic cavernous sinus thrombosis
- The use of PK Papyrus covered coronary stent for carotid reconstruction: an initial institutional experience
- Indirect carotid cavernous fistula mimicking ocular myasthenia
- Direct puncture of the highest cervical segment of the internal carotid artery for treatment of an iatrogenic carotid cavernous fistula in a patient with Ehlers-Danlos syndrome
- Recurrence risk factors in detachable balloon embolization of traumatic direct carotid cavernous fistulas in 188 patients
- Posterior fossa dural arteriovenous fistula presenting clinically as a carotid–cavernous fistula treated by a direct access cavernous sinus approach