Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association
We report a case of a 20-year-old female having systemic hypertension who presented with right-sided proptosis, chemosis, and diminished vision, preceded by an acute episode of unilateral throbbing headache. Imaging studies revealed a right-sided direct, spontaneous carotid-cavernous fistula (CCF),...
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2016-01-01
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doaj-9201a7499dfd4251863e233aff93328e2020-11-24T23:07:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-0164432332510.4103/0301-4738.182951Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare associationNamita KumariAbadan Khan AmitavaSardar Mohammed AkramShivani GroverWe report a case of a 20-year-old female having systemic hypertension who presented with right-sided proptosis, chemosis, and diminished vision, preceded by an acute episode of unilateral throbbing headache. Imaging studies revealed a right-sided direct, spontaneous carotid-cavernous fistula (CCF), aneurysm of internal carotid artery, bleed in the parieto-frontal lobe, and swelling of extraocular muscles. Abdominal ultrasound revealed a small contracted right kidney measuring 64 mm × 27 mm. A direct spontaneous CCF can occur spontaneously following rupture of intracranial aneurysm without any history of trauma or connective tissue disorder. Prompt diagnosis of intravascular malformations at initial presentation can prevent neurological complications and vision loss. A team approach including emergency physicians, neurosurgeons, and ophthalmologists is needed for the proper management of such patients.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=4;spage=323;epage=325;aulast=KumariCarotid-cavernous fistulacontracted kidneyintracerebral bleedintracranial aneurysmsystemic hypertensionunilateral proptosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Namita Kumari Abadan Khan Amitava Sardar Mohammed Akram Shivani Grover |
spellingShingle |
Namita Kumari Abadan Khan Amitava Sardar Mohammed Akram Shivani Grover Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association Indian Journal of Ophthalmology Carotid-cavernous fistula contracted kidney intracerebral bleed intracranial aneurysm systemic hypertension unilateral proptosis |
author_facet |
Namita Kumari Abadan Khan Amitava Sardar Mohammed Akram Shivani Grover |
author_sort |
Namita Kumari |
title |
Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association |
title_short |
Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association |
title_full |
Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association |
title_fullStr |
Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association |
title_full_unstemmed |
Direct, spontaneous carotid-cavernous fistula with a contracted kidney: A rare association |
title_sort |
direct, spontaneous carotid-cavernous fistula with a contracted kidney: a rare association |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2016-01-01 |
description |
We report a case of a 20-year-old female having systemic hypertension who presented with right-sided proptosis, chemosis, and diminished vision, preceded by an acute episode of unilateral throbbing headache. Imaging studies revealed a right-sided direct, spontaneous carotid-cavernous fistula (CCF), aneurysm of internal carotid artery, bleed in the parieto-frontal lobe, and swelling of extraocular muscles. Abdominal ultrasound revealed a small contracted right kidney measuring 64 mm × 27 mm. A direct spontaneous CCF can occur spontaneously following rupture of intracranial aneurysm without any history of trauma or connective tissue disorder. Prompt diagnosis of intravascular malformations at initial presentation can prevent neurological complications and vision loss. A team approach including emergency physicians, neurosurgeons, and ophthalmologists is needed for the proper management of such patients. |
topic |
Carotid-cavernous fistula contracted kidney intracerebral bleed intracranial aneurysm systemic hypertension unilateral proptosis |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=4;spage=323;epage=325;aulast=Kumari |
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