Nepal Journal of Neuroscience
Official Journal of Nepalese Society of Neurosurgeons

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Acquired Carotico-Cavernous Fistula Presenting As An Intractable Glaucoma: A Case Report

Dr. Vyankatesh D. Aironi, MD, DNB
Department of Radio-diagnosis Rural medical college, Pravara Medical Trust Amhednagar, Maharashtra, India

The carotico-cavernous fistula is a specific type of dural arteriovenous fistula characterized by abnormal arteriovenous shunting between the internal carotid artery and the cavernous sinus. Young men are more likely than others to develop traumatic carotid-cavernous fistulas (CCFs), possibly because of their increased incidence of trauma in young patients. A relatively high incidence of traumatic CCF has been reported in patients with middle fossa basilar skull fractures.1 We discuss a MRI and USG features of a case of bilateral traumatic caroticocavernous fistula in a 20 year old male patient due to injury sustained 1 year back. He was later treated by interventional embolization by coiling of fistula. Patient is now asymptomatic and shows resolution of pulsatile proptosis and glaucoma.

Key Words: Carotico-cavernous fistula, Glaucoma, pulsatile proptosis