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Traumatic carotid-cavernous fistula

Goldstein SJG - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Traumatic carotid-cavernous fistula

History: 33 y.o. man 10 days after an MVA, diagnosed with a temporal bone fracture. He presents now with bulging, swelling, and "itching" of his left eye

Findings: • MRI - Enlarged left cavernous sinus and superior opthamic vein. Proptosis, and enlargement of all the extra occular muscles. • Angiogram - direct cavernous carotid fistula

Ddx: • Carotid cavernous fistula • Dural fistula • Cavernous sinus thrombosis • Meningioma

Dxhow: MRI and Angiogram

Exam: Proptosis and chemosis O.S. (left eye)

No MeSH data available.


Immediate opacification of the cavernous sinus (blue) from the cavernous portion of the internal carotid artery (red) from a direct carotid cavernous fistula.
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MPX1712_synpic52011: Immediate opacification of the cavernous sinus (blue) from the cavernous portion of the internal carotid artery (red) from a direct carotid cavernous fistula.


Traumatic carotid-cavernous fistula

Goldstein SJG - MedPix (2009)

Immediate opacification of the cavernous sinus (blue) from the cavernous portion of the internal carotid artery (red) from a direct carotid cavernous fistula.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1712&req=5

MPX1712_synpic52011: Immediate opacification of the cavernous sinus (blue) from the cavernous portion of the internal carotid artery (red) from a direct carotid cavernous fistula.

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Traumatic carotid-cavernous fistula

History: 33 y.o. man 10 days after an MVA, diagnosed with a temporal bone fracture. He presents now with bulging, swelling, and "itching" of his left eye

Findings: • MRI - Enlarged left cavernous sinus and superior opthamic vein. Proptosis, and enlargement of all the extra occular muscles. • Angiogram - direct cavernous carotid fistula

Ddx: • Carotid cavernous fistula • Dural fistula • Cavernous sinus thrombosis • Meningioma

Dxhow: MRI and Angiogram

Exam: Proptosis and chemosis O.S. (left eye)

No MeSH data available.