2012
DOI: 10.1186/1865-1380-5-10
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Communicating carotid-cavernous sinus fistula following minor head trauma

Abstract: IntroductionA case of communicating carotid-cavernous sinus fistula (CCF) after minor closed head injury is presented.Case presentationA 45-year-old Caucasian male presented to the emergency department of a tertiary care hospital with the chief complaint of blurred vision and facial numbness. The patient had experienced a minor head injury 1 month ago with loss of consciousness. After a 2-week symptom-free period, he developed scalp and facial numbness, along with headache and vision problems. His vital signs … Show more

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Cited by 19 publications
(27 citation statements)
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“…A carotid-cavernous sinus fistula develops when the carotid artery leaks into the cavernous system, usually over days to weeks, increasing venous pressure and compressing the cavernous sinus contents. 1 Most occur after blunt or penetrating head trauma, although they can also occur spontaneously. The classic triad of symptoms is chemosis, exophthalmos, and orbital bruit.…”
Section: Discussionmentioning
confidence: 99%
“…A carotid-cavernous sinus fistula develops when the carotid artery leaks into the cavernous system, usually over days to weeks, increasing venous pressure and compressing the cavernous sinus contents. 1 Most occur after blunt or penetrating head trauma, although they can also occur spontaneously. The classic triad of symptoms is chemosis, exophthalmos, and orbital bruit.…”
Section: Discussionmentioning
confidence: 99%
“…22 Despite the fact that direct CCFs occur as acute events, the symptoms can be insidious and potentially grave. 4,22 The clinical manifestations are delayed, appearing after venous hypertension has reached a critical level, which may take weeks to happen. 22 In addition, the exuberance of the clinical condition is more related to the venous drainage standard than to the size of the fistula.…”
Section: Clinical Presentationmentioning
confidence: 99%
“…4,22 The clinical manifestations are delayed, appearing after venous hypertension has reached a critical level, which may take weeks to happen. 22 In addition, the exuberance of the clinical condition is more related to the venous drainage standard than to the size of the fistula. 4 There may be compromised cranial nerves III, IV, V and VI, causing extraocular motility paralysis and diplopia, in addition to the appearance of headache, retro-ocular pain, vision loss and even intracranial hemorrhage.…”
Section: Clinical Presentationmentioning
confidence: 99%
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