Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations

A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dysli...

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Main Authors: Mohammad Razali, Amirah, Sobri, Mohammad Jazli, Fuad, Muhammad Khairul Adha, Abdul Rashid, Anna Misyail, Md Noh, Mohamad Syafeeq Faeez
Format: Article
Language:English
Published: Springer Science and Business Media LLC 2024
Online Access:http://psasir.upm.edu.my/id/eprint/117351/
http://psasir.upm.edu.my/id/eprint/117351/1/117351.pdf
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author Mohammad Razali, Amirah
Sobri, Mohammad Jazli
Fuad, Muhammad Khairul Adha
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
author_facet Mohammad Razali, Amirah
Sobri, Mohammad Jazli
Fuad, Muhammad Khairul Adha
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
author_sort Mohammad Razali, Amirah
building UPM Institutional Repository
collection Online Access
description A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dyslipidemia, who had a complex indirect CCF from the right internal and right external carotid artery, draining into the left ophthalmic vein and giving rise to left ocular manifestation. Endovascular embolization was attempted but was unsuccessful. The patient subsequently developed a stroke one day post-procedure, with a favorable recovery of function.
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spelling upm-1173512025-05-15T00:15:48Z http://psasir.upm.edu.my/id/eprint/117351/ Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations Mohammad Razali, Amirah Sobri, Mohammad Jazli Fuad, Muhammad Khairul Adha Abdul Rashid, Anna Misyail Md Noh, Mohamad Syafeeq Faeez A carotid-cavernous fistula (CCF) involves an abnormal communication between the carotid artery and the cavernous sinus. For indirect CCF, it usually occurs in post-menopausal women. Contralateral symptoms for indirect CCF are rare. We report a 79-year-old lady with underlying hypertension and dyslipidemia, who had a complex indirect CCF from the right internal and right external carotid artery, draining into the left ophthalmic vein and giving rise to left ocular manifestation. Endovascular embolization was attempted but was unsuccessful. The patient subsequently developed a stroke one day post-procedure, with a favorable recovery of function. Springer Science and Business Media LLC 2024-11-14 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/117351/1/117351.pdf Mohammad Razali, Amirah and Sobri, Mohammad Jazli and Fuad, Muhammad Khairul Adha and Abdul Rashid, Anna Misyail and Md Noh, Mohamad Syafeeq Faeez (2024) Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations. Cureus, 16 (11). art. no. e73670. pp. 1-5. ISSN 2168-8184 https://www.cureus.com/articles/313770-complex-indirect-carotid-cavernous-fistula-with-contralateral-ophthalmic-manifestations 10.7759/cureus.73670
spellingShingle Mohammad Razali, Amirah
Sobri, Mohammad Jazli
Fuad, Muhammad Khairul Adha
Abdul Rashid, Anna Misyail
Md Noh, Mohamad Syafeeq Faeez
Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title_full Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title_fullStr Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title_full_unstemmed Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title_short Complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
title_sort complex indirect carotid-cavernous fistula with contralateral ophthalmic manifestations
url http://psasir.upm.edu.my/id/eprint/117351/
http://psasir.upm.edu.my/id/eprint/117351/
http://psasir.upm.edu.my/id/eprint/117351/
http://psasir.upm.edu.my/id/eprint/117351/1/117351.pdf