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Updated: Aug 7, 2025

A Murine Model of Ischemic Retinal Injury Induced by Transient Bilateral Common Carotid Artery Occlusion
Published on: November 12, 2020
Carotid-Cavernous Fistula Presenting as Isolated Painful Anisocoria
Rasha Mosleh1, Andre Aung1, Amit M Saindane2,3
1Department of Ophthalmology, Emory University School of Medicine, Atlanta, Georgia, USA.
Abstract:
A painful isolated third nerve palsy is an uncommon presenting sign of a carotid-cavernous fistula (CCF). It mostly occurs in dural CCFs with posterior drainage into the petrosal sinuses. We present a case of a 50-year-old woman who developed acute right periorbital facial pain in the territory of the first branch of the right trigeminal nerve and was noted to have a right dilated unreactive pupil with very subtle right ptosis. She was subsequently diagnosed with a posteriorly draining dural CCF.
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