Bilateral carotid cavernous fistula after trauma: a case report and literature review

Abstract Background Carotid cavernous fistula is a rare complication that is typically associated with head trauma and skull base fractures. The traumatic bilateral carotid cavernous fistula are significantly rarer. Case presentations We report a case of a 61-year-old man presenting with unilateral...

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Autores principales: Jingshan Liang, Xiaoxiao Xie, Yong Sun, Xiuli Wei, Aimin Li
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Lenguaje:EN
Publicado: BMC 2021
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spelling oai:doaj.org-article:65dcd9b179674043b02f14270c795e462021-11-08T10:56:48ZBilateral carotid cavernous fistula after trauma: a case report and literature review10.1186/s41016-021-00265-x2057-4967https://doaj.org/article/65dcd9b179674043b02f14270c795e462021-11-01T00:00:00Zhttps://doi.org/10.1186/s41016-021-00265-xhttps://doaj.org/toc/2057-4967Abstract Background Carotid cavernous fistula is a rare complication that is typically associated with head trauma and skull base fractures. The traumatic bilateral carotid cavernous fistula are significantly rarer. Case presentations We report a case of a 61-year-old man presenting with unilateral exophthalmos, swollen eyelids, conjunctival congestion, and edema etiologically associated with severe trauma. Thereafter, the patient demonstrated symptoms of contralateral oculomotor nerve injury caused by skull base fracture, such as ptosis of eyelid, dilated pupils, and eye movement disorder, and was diagnosed with bilateral carotid cavernous fistula. Conclusions The patient recovered after undergoing endovascular embolization of bilateral cavernous sinus fistulas. The patient demonstrated the classic symptoms of an extremely rare condition known as bilateral carotid cavernous fistula, in only one eye. Reporting and analyzing this case will help us elucidate the underlying mechanisms of this disease.Jingshan LiangXiaoxiao XieYong SunXiuli WeiAimin LiBMCarticleCarotid cavernous fistulaBilateralTraumaEndovascular embolizationSurgeryRD1-811Neurology. Diseases of the nervous systemRC346-429ENChinese Neurosurgical Journal, Vol 7, Iss 1, Pp 1-6 (2021)
institution DOAJ
collection DOAJ
language EN
topic Carotid cavernous fistula
Bilateral
Trauma
Endovascular embolization
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Carotid cavernous fistula
Bilateral
Trauma
Endovascular embolization
Surgery
RD1-811
Neurology. Diseases of the nervous system
RC346-429
Jingshan Liang
Xiaoxiao Xie
Yong Sun
Xiuli Wei
Aimin Li
Bilateral carotid cavernous fistula after trauma: a case report and literature review
description Abstract Background Carotid cavernous fistula is a rare complication that is typically associated with head trauma and skull base fractures. The traumatic bilateral carotid cavernous fistula are significantly rarer. Case presentations We report a case of a 61-year-old man presenting with unilateral exophthalmos, swollen eyelids, conjunctival congestion, and edema etiologically associated with severe trauma. Thereafter, the patient demonstrated symptoms of contralateral oculomotor nerve injury caused by skull base fracture, such as ptosis of eyelid, dilated pupils, and eye movement disorder, and was diagnosed with bilateral carotid cavernous fistula. Conclusions The patient recovered after undergoing endovascular embolization of bilateral cavernous sinus fistulas. The patient demonstrated the classic symptoms of an extremely rare condition known as bilateral carotid cavernous fistula, in only one eye. Reporting and analyzing this case will help us elucidate the underlying mechanisms of this disease.
format article
author Jingshan Liang
Xiaoxiao Xie
Yong Sun
Xiuli Wei
Aimin Li
author_facet Jingshan Liang
Xiaoxiao Xie
Yong Sun
Xiuli Wei
Aimin Li
author_sort Jingshan Liang
title Bilateral carotid cavernous fistula after trauma: a case report and literature review
title_short Bilateral carotid cavernous fistula after trauma: a case report and literature review
title_full Bilateral carotid cavernous fistula after trauma: a case report and literature review
title_fullStr Bilateral carotid cavernous fistula after trauma: a case report and literature review
title_full_unstemmed Bilateral carotid cavernous fistula after trauma: a case report and literature review
title_sort bilateral carotid cavernous fistula after trauma: a case report and literature review
publisher BMC
publishDate 2021
url https://doaj.org/article/65dcd9b179674043b02f14270c795e46
work_keys_str_mv AT jingshanliang bilateralcarotidcavernousfistulaaftertraumaacasereportandliteraturereview
AT xiaoxiaoxie bilateralcarotidcavernousfistulaaftertraumaacasereportandliteraturereview
AT yongsun bilateralcarotidcavernousfistulaaftertraumaacasereportandliteraturereview
AT xiuliwei bilateralcarotidcavernousfistulaaftertraumaacasereportandliteraturereview
AT aiminli bilateralcarotidcavernousfistulaaftertraumaacasereportandliteraturereview
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