Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula
Purpose: To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision. Case Report: A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye...
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Online Access: | http://www.jovr.org/article.asp?issn=2008-322X;year=2011;volume=6;issue=1;spage=50;epage=53;aulast=Razeghinejad |
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doaj-ebbece5f4b374f8d9d4a6af56a63e7ba2020-11-25T01:17:23ZengKnowledge EJournal of Ophthalmic & Vision Research2008-322X2011-01-01615053Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous FistulaMohammad-Reza RazeghinejadMansooreh Jamshidian TehraniPurpose: To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision. Case Report: A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye over 2 hours. Imaging studies revealed a direct carotid-cavernous fistula. Management for high intraocular pressure was promptly initiated and the patient was referred to a neurosurgery service, but she refused any surgical intervention. Ultimately, she accepted to undergo manual carotid artery compression which resulted in significant reduction in the proptosis, but she lost all vision permanently. Conclusion: Direct carotid-cavernous fistula can occur spontaneously and should be taken into account in patients with signs suggestive of direct carotid-cavernous sinus fistula even without history of trauma or connective tissue disorder.http://www.jovr.org/article.asp?issn=2008-322X;year=2011;volume=6;issue=1;spage=50;epage=53;aulast=RazeghinejadCarotid-Cavernous Sinus Fistula; Blindness; Proptosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammad-Reza Razeghinejad Mansooreh Jamshidian Tehrani |
spellingShingle |
Mohammad-Reza Razeghinejad Mansooreh Jamshidian Tehrani Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula Journal of Ophthalmic & Vision Research Carotid-Cavernous Sinus Fistula; Blindness; Proptosis |
author_facet |
Mohammad-Reza Razeghinejad Mansooreh Jamshidian Tehrani |
author_sort |
Mohammad-Reza Razeghinejad |
title |
Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula |
title_short |
Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula |
title_full |
Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula |
title_fullStr |
Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula |
title_full_unstemmed |
Sudden Onset and Blinding Spontaneous Direct Carotid-Cavernous Fistula |
title_sort |
sudden onset and blinding spontaneous direct carotid-cavernous fistula |
publisher |
Knowledge E |
series |
Journal of Ophthalmic & Vision Research |
issn |
2008-322X |
publishDate |
2011-01-01 |
description |
Purpose: To report a case of spontaneous direct carotid-cavernous fistula causing abrupt loss of vision.
Case Report: A 50-year-old woman with systemic hypertension but no history of ocular disease developed sudden proptosis, frozen eye, subconjunctival hemorrhage and loss of vision in her left eye over 2 hours. Imaging studies revealed a direct carotid-cavernous fistula. Management for high intraocular pressure was promptly initiated and the patient was referred to a neurosurgery service, but she refused any surgical intervention. Ultimately, she accepted to undergo manual carotid artery compression which resulted in significant reduction in the proptosis, but she lost all vision permanently.
Conclusion: Direct carotid-cavernous fistula can occur spontaneously and should be taken into account in patients with signs suggestive of direct carotid-cavernous sinus fistula even without history of trauma or connective tissue disorder. |
topic |
Carotid-Cavernous Sinus Fistula; Blindness; Proptosis |
url |
http://www.jovr.org/article.asp?issn=2008-322X;year=2011;volume=6;issue=1;spage=50;epage=53;aulast=Razeghinejad |
work_keys_str_mv |
AT mohammadrezarazeghinejad suddenonsetandblindingspontaneousdirectcarotidcavernousfistula AT mansoorehjamshidiantehrani suddenonsetandblindingspontaneousdirectcarotidcavernousfistula |
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