Presentation
Motor vehicle accident - multiple craniofacial fractures. Proptosis of right eyeball, pulsatile exophthalmos and subconjunctival hemorrhage.
Patient Data
Age: 17 years
Gender: Male
From the case:
Caroticocavernous fistula - direct
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Proptosis of right eyeball, caused by
- grossly enlarged superior ophthalmic vein
- enlarged cavernous sinus
- enlarged extraocular muscles
Multiple craniofacial fractures.
From the case:
Caroticocavernous fistula - direct
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- rapid shunting from right internal carotid artery (ICA) to cavernous sinus
- retrograde flow from cavernous sinus to superior ophthalmic vein
- enlarged draining veins
- coil embolization of right ICA
Case Discussion
Before commencing with embolization, the interventional neuroradiologist verified adequate collateral circulation. He then proceeded to perform embolization of right ICA with detachable coils. The procedure concluded without complications and the patient recovered without any complications.
Procedure carried out by Dr Manuel Hernandez Gaitan, Interventional Neuroradiologist.
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