{"title":"Indirect Carotid Cavernous Fistula with Ocular Manifestations: A Case Report.","authors":"Pooja Shrestha, Angira Shrestha, Tina Khoju, Richa Makaju, Rajani Keshari, Rahul Gupta, Nigi Shrestha","doi":"10.31729/jnma.8615","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Carotid-cavernous fistulas are rare entity with incidence of less than 1%, refers to abnormal connections between the carotid artery and cavernous sinus. Indirect types usually occur in elderly female patients and can resolve spontaneously with conservative management like external manual compression of the carotid artery. We report a case of 65-year-old female who presented with complaints of redness, proptosis, chemosis, headache and ophthalmoplegia in her right eye. Digital subtraction angiography revealed Barrow type B indirect carotid-cavernous fistulas. External manual carotid compression was done after which her symptoms improved significantly. Thus, indirect type carotid-cavernous fistulas can occur spontaneously and could be a sight threatening condition especially in elderly females but can resolve with conservative management.</p>","PeriodicalId":54785,"journal":{"name":"Journal of Nepal Medical Association","volume":"62 274","pages":"407-410"},"PeriodicalIF":0.5000,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11185313/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nepal Medical Association","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.31729/jnma.8615","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Abstract: Carotid-cavernous fistulas are rare entity with incidence of less than 1%, refers to abnormal connections between the carotid artery and cavernous sinus. Indirect types usually occur in elderly female patients and can resolve spontaneously with conservative management like external manual compression of the carotid artery. We report a case of 65-year-old female who presented with complaints of redness, proptosis, chemosis, headache and ophthalmoplegia in her right eye. Digital subtraction angiography revealed Barrow type B indirect carotid-cavernous fistulas. External manual carotid compression was done after which her symptoms improved significantly. Thus, indirect type carotid-cavernous fistulas can occur spontaneously and could be a sight threatening condition especially in elderly females but can resolve with conservative management.
摘要：颈动脉海绵窦瘘是一种罕见的疾病，发病率低于1%，是指颈动脉和海绵窦之间的异常连接。间接型瘘通常发生在老年女性患者中，通过保守治疗，如外部手动压迫颈动脉，可自行缓解。我们报告了一例 65 岁女性患者的病例，她主诉右眼发红、突眼、化脓、头痛和眼球震颤。数字减影血管造影术发现了巴罗 B 型间接颈动脉-海绵状静脉瘘。对她进行颈动脉体外人工压迫后，症状明显好转。因此，间接型颈动脉-颈静脉瘘可自发发生，尤其是对老年女性来说，可能是一种威胁视力的疾病，但通过保守治疗可以缓解。
期刊介绍：
Journal of Nepal Medical Association is an internationally peer-reviewed, MedLine/PubMed indexed, a monthly general medical journal published by Nepal Medical Association. JNMA is the first and oldest medical journal from Nepal since 1963 AD.
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