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Related Experiment Videos

Computed tomography in carotid cavernous fistula

A Zilkha, A S Daiz

    Surgical Neurology
    |November 1, 1980
    PubMed
    Summary

    Traumatic carotid artery-cavernous sinus fistula can be diagnosed using computed tomography (CT) and cerebral angiography. CT scans reveal key signs like proptosis and enhanced cavernous sinus structures.

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    Radiology·1982

    Area of Science:

    • Neurology
    • Radiology
    • Ophthalmology

    Background:

    • Carotid artery-cavernous sinus fistulas (CCFS) are abnormal connections between the carotid artery and the cavernous sinus.
    • Traumatic CCFS, though less common than spontaneous types, requires prompt diagnosis and management.

    Observation:

    • This report details two cases of CCFS resulting from trauma.
    • Clinical presentation included proptosis (bulging eye).

    Findings:

    • Computed tomography (CT) scans suggested the diagnosis.
    • Cerebral angiography confirmed the fistula.
    • CT findings indicative of CCFS included proptosis, a prominent superior ophthalmic vein, and significant enhancement of the cavernous sinus post-contrast.

    Implications:

    • Early CT suspicion and angiographic confirmation are crucial for managing traumatic CCFS.
    • Understanding CT findings aids in timely diagnosis and treatment planning for these rare injuries.

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