Bilateral indirect carotid cavernous fistula post trivial injury- A case report

Mat Abu, Siti Hajar and Hashim, Hanizasurana and George, Tara Mary and Ngah, Norfariza and Hussein, Adil (2013) Bilateral indirect carotid cavernous fistula post trivial injury- A case report. Journal of Acute Disease, 2 (1). pp. 66-69. ISSN 2221-6189

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Abstract

Fifty-seven years old Malay lady, post menopausal with co-morbid of diabetes mellitus and hypertension presented with three months history of bilateral painful red eyes associated with double vision. Examination revealed both eyes proptosis, corkscrew vessels with present of bruit, secondary narrow angle with raised intraocular pressure, 6th cranial nerve palsy, and bilateral venous stasis retinopathy. CT angiogram showed bilateral dilated superior ophthalmic veins with cerebral angiogram findings of bilateral indirect carotid cavernous fistula involving small meningeal vessels. Indirect or dural cavernous sinus Fistula can easily be missed or misdiagnosed. Trivial injury especially in the predisposing patient can initiate the occurrence.

Item Type: Article
Subjects: R Medicine > RE Ophthalmology
Divisions: Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Article
Depositing User: Mr Noorazilan Noordin
Date Deposited: 16 Jan 2018 08:01
Last Modified: 16 Jan 2018 08:01
URI: http://eprints.usm.my/id/eprint/38393

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