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Updated: Jul 10, 2025
Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
Post-traumatic carotid-cavernous fistula
Giacomo Bertolini1, Giulia Capurri2, Roberto Menozzi2
1Neurosurgery Unit, Head and Neck Department, Azienda Ospedaliero-Universitaria di Parma, Parma, Italy. gbertolini2@ao.pr.it.
A direct, high-flow carotid-cavernous fistula following head trauma caused right eye proptosis and ophthalmoplegia. Endovascular occlusion successfully resolved the patient's symptoms.
Area of Science:
- Ophthalmology
- Neurology
- Radiology
Background:
- Head injuries can lead to rare but serious vascular complications.
- Carotid-cavernous fistulas (CCFs) are abnormal connections between the carotid artery and the cavernous sinus.
Observation:
- A 28-year-old woman presented with progressive right eye proptosis, ophthalmoplegia, and conjunctival injection two months post-head injury.
- Magnetic resonance imaging (MRI) and cerebral angiography confirmed a direct, high-flow, right post-traumatic carotid-cavernous fistula.
Findings:
- An endovascular procedure was performed to treat the carotid-cavernous fistula.
- Successful occlusion of the fistula was achieved.
Implications:
- Endovascular treatment offers an effective therapeutic option for post-traumatic carotid-cavernous fistulas.
- Prompt diagnosis and intervention can lead to significant symptom resolution and prevent further complications.
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