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Traumatic carotid-cavernous sinus fistula with spontaneous resolution
1Department of Emergency Medicine, Albany Medical Center, NY 12208, USA.
The American Journal of Emergency Medicine
|July 1, 1997
Summary
A minor head injury led to a rare carotid-cavernous sinus fistula in an elderly woman, causing severe symptoms. Spontaneous resolution of the fistula occurred within a week, resolving her symptoms.
Area of Science:
- Ophthalmology
- Neurology
- Vascular Surgery
Background:
- Carotid-cavernous sinus fistulas (CCSFs) are abnormal connections between the carotid artery and the cavernous sinus.
- CCSFs can arise spontaneously or secondary to trauma, including minor head injuries.
Observation:
- A 77-year-old woman developed unilateral ocular pain, proptosis, vascular tinnitus, and chemosis.
- Symptoms appeared several weeks after a minor closed head injury.
- Cerebral angiography confirmed a carotid-cavernous sinus fistula.
Findings:
- The patient's symptoms, indicative of a CCSF, resolved spontaneously within one week of diagnosis.
- This case highlights the potential for delayed presentation and spontaneous resolution of traumatic CCFS.
Implications:
- Early recognition and diagnosis of CCFS are crucial for appropriate management.
- Spontaneous resolution, though uncommon, can occur, potentially altering the need for immediate intervention.
- Understanding the diverse presentations of CCFS aids in timely diagnosis and patient care.