• Users Online: 118
  • Print this page
  • Email this page
CASE REPORT
Year : 2020  |  Volume : 25  |  Issue : 1  |  Page : 53-56

Incidental traumatic carotid cavernous fistula discovered only on conventional cerebral angiography: A case report


1 Department of Radiology, University of Benin, Benin City, Nigeria
2 Department of Radiology, Taoyuan General Hospital, Taoyuan City, Taiwan

Correspondence Address:
Dr. Festus O Ehigiamusoe
Department of Radiology, University of Benin, PMB 1154, Benin City, Edo State.
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmh.IJMH_28_19

Rights and Permissions

Carotid cavernous fistula (CCF) is not an uncommon occurrence in patients involved in road traffic accident with head injury. It involves an abnormal communication between the cavernous sinus and the carotid arteries presenting with clinical features. Its pathogenesis could be traumatic or spontaneous. Our patient was a 32-year-old woman involved in a road traffic accident with head injury. Emergency cranial computed tomography scan revealed subarachnoid hemorrhage and suspected aneurysm of the left internal carotid artery. Subsequent computed tomographic angiography and magnetic resonance angiography were negative for aneurysm or CCF, but a latter digital subtraction cerebral angiography showed florid signs of CCF (dilated cavernous sinus and left ophthalmic vein), though, no clinical features of CCF were observed in this patient. The patient was subsequently referred to another hospital with a neurointerventional radiologist for management. In conclusion, this case shows that the absence of clinical features and negative noninvasive imaging investigation does not exclude the diagnosis of CCF.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed415    
    Printed31    
    Emailed0    
    PDF Downloaded49    
    Comments [Add]    

Recommend this journal