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Updated: Feb 17, 2026

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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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Bilateral Traumatic Caroticocavernous Fistulas: A Case Report and Review of the Literature
Lorna Leandro1, Giovanni Dolci2, Satheesh Prabhu3
1Medical Student, Department of Oral and Maxillofacial Surgery, Oxford University Medical School, Oxford, Oxfordshire, UK.
Abstract:
A traumatic caroticocavernous fistula (CCF) is an acquired, abnormal communication between the internal carotid artery and the cavernous sinus, secondary to trauma. This rare condition can initially be misdiagnosed, because its presentation shares features common to those of facial trauma, which can result in serious complications. We describe a case of bilateral CCF in an adult patient after a road traffic accident.

