Carotid cavernous fistula (CCF) with coil embolization in interventional radiology: A case report

Carotid cavernous fistula (CCF) is a condition with abnormal flow from the carotid artery to the cavernous sinus. The characteristic clinical findings are ophthalmic monoplegia, ptosis, exophthalmos, chemosis, Horner's syndrome, facial pain, loss of sensation in the distribution of the trigemin...

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Bibliographic Details
Published in:Radiology Case Reports
Main Authors: Eppy Buchori, MD, Hilman, MD, Muhamad Dony Ardiansyah, MD, Winarno Priyanto, MD, Prettyla Yollamanda, MD
Format: Article
Language:English
Published: Elsevier 2023-11-01
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323005381
Description
Summary:Carotid cavernous fistula (CCF) is a condition with abnormal flow from the carotid artery to the cavernous sinus. The characteristic clinical findings are ophthalmic monoplegia, ptosis, exophthalmos, chemosis, Horner's syndrome, facial pain, loss of sensation in the distribution of the trigeminal nerve, and headache. Digital subtraction angiography (DSA) is the gold standard modality for evaluating CCF. An 18-year-old patient came with decreased bilateral visual acuity after a traffic accident. CT angiography was performed on the patient and found a dilated right superior ophthalmic vein. CCF is present in the patient. The DSA procedure was performed on the patient, and embolization was performed on the right ophthalmic vein. On post-embolization angiography, the tubular structure is no longer visible, which is bilateral superior ophthalmic vein dilatation.
ISSN:1930-0433